Related Experiment Video
Updated: Jun 25, 2026
04:35
Using the Endoscope for Endobronchial Ultrasound in the Esophagus
Published on: November 21, 2023
Embedded esophageal foreign body. A diagnostic challenge.
Venkatraman S Bhat1, Khalid A Al-Saadi, Ibrahim E Bessiouni
1Department of Radiology, Hamad Medical Corporation, Doha, Qatar. bvenkatraman@gmail.com
Saudi Medical Journal
|March 10, 2009
Summary
Esophageal foreign body ingestion is common in children, often presenting diagnostic challenges. Multidetector computed tomography (MDCT) aids in diagnosing non-radio opaque foreign bodies when other methods fail.
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
- Radiology
Background:
- Esophageal foreign body (EFB) ingestion is a frequent pediatric emergency.
- Diagnosing non-radio opaque EFBs can be difficult, leading to delays.
- Inconclusive endoscopic findings and poor patient history complicate diagnosis.
Observation:
- A child presented with failure to thrive, a non-specific symptom.
- Initial fibreoptic endoscopy did not reveal an esophageal foreign body.
- MDCT imaging was crucial for definitive diagnosis.
Findings:
- Multidetector computed tomography (MDCT) successfully identified a non-radio opaque esophageal foreign body.
- MDCT provided precise localization, aiding in subsequent management.
- This case highlights MDCT's utility in challenging EFB diagnoses.
Implications:
- MDCT should be considered in pediatric cases of suspected EFB with inconclusive initial evaluations.
- Early diagnosis of EFB can prevent complications and improve patient outcomes.
- Advanced imaging techniques like MDCT enhance diagnostic accuracy in pediatric foreign body ingestions.
Related Concept Videos
01:26Esophageal Strictures-II: Clinical Features and Management
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
01:21Barrett Esophagus-II: Clinical Manifestations and Management
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure entails...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure entails...
01:30Esophageal Strictures-I: Introduction
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
01:27Esophageal Achalasia
Esophageal achalasia is a chronic neurogenic disorder characterized by impaired relaxation of the lower esophageal sphincter (LES) and absent or ineffective peristalsis in the distal esophagus. This leads to a functional obstruction without a physical blockage, despite significant disruption of esophageal motility.EtiologyAchalasia is caused by degeneration of the myenteric (Auerbach's) plexus, specifically the loss of inhibitory ganglion cells that produce vasoactive intestinal peptide (VIP)...
01:22Esophageal Perforation-I: Introduction
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations: