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Staples as foreign-body oesophagus

R Puri1, S Kumar, S Berry

  • 1Department of Otolaryngology-Head and Neck Surgery, Lok Nayak Hospital, 110 002 New Delhi.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 3, 2012
PubMed

Insights

A five-and-a-half-month-old infant ingested a bunch of staples, which were lodged in the esophagus. Endoscopic removal was successful, with staples extracted in small groups.

Area of Science:

  • Pediatric Gastroenterology
  • Otolaryngology
  • Medical Imaging

Background:

  • Esophageal foreign bodies are a common pediatric emergency.
  • Ingestion of unusual foreign bodies, such as surgical staples, presents unique diagnostic and management challenges.

Purpose of the Study:

  • To report a rare case of esophageal foreign body in an infant.
  • To highlight the radiological appearance and endoscopic removal of ingested staples.

Main Methods:

  • A case study of a five-and-a-half-month-old infant presenting with suspected esophageal foreign body.
  • Radiological imaging (X-ray) to identify the foreign body.
  • Esophagoscopy for diagnosis and foreign body removal.

Main Results:

  • Radiological imaging revealed a compact bunch of staples in the esophagus.
  • Endoscopic examination confirmed the presence of staples.
  • Staples were successfully removed in small groups (two to three at a time) via esophagoscopy.

Conclusions:

  • Ingested staples can present as an esophageal foreign body in infants.
  • Radiological findings may differ from the actual endoscopic appearance.
  • Endoscopic removal is a safe and effective treatment for this type of foreign body.

Keywords:
Foreign bodyoesophagusstaple

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