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Foreign body in esophagus: Case report.

Bustamante M Mauricio E1, Maciel U Javier A2, Hernández G Ana K1

  • 1IMSS Centro Médico Nacional de Occidente, Mexico.

International Journal of Surgery Case Reports
|September 27, 2021
PubMed
Summary

Foreign body ingestion is common in emergency departments. This case highlights successful surgical intervention for persistent dysphagia after a foreign body was lodged, when endoscopy failed.

Keywords:
EndoscopyEsophagusForeign body

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Area of Science:

  • Medical Sciences
  • Gastroenterology
  • Emergency Medicine

Background:

  • Foreign body ingestion is a frequent cause for emergency department visits, particularly in pediatric and elderly populations.
  • Dysphagia following food intake can indicate a lodged foreign body, necessitating prompt diagnosis and management.

Purpose of the Study:

  • To present a case of a 48-year-old male with dysphagia due to foreign body ingestion.
  • To illustrate the diagnostic and therapeutic pathway, including imaging and intervention, for complex foreign body impaction.

Main Methods:

  • Clinical presentation of dysphagia after food intake.
  • Diagnostic confirmation using neck tomography.
  • Intervention involving failed endoscopy followed by surgical treatment.

Main Results:

  • Diagnosis of foreign body impaction confirmed by tomography.
  • Endoscopic intervention was unsuccessful.
  • Surgical treatment led to complete resolution of dysphagia.

Conclusions:

  • Diagnosis relies on clinical history, physical examination, and imaging studies like tomography.
  • While spontaneous passage occurs, endoscopy (over 95% success) or surgery may be required for foreign body removal.
  • This case underscores the importance of considering surgical options when less invasive methods fail.