Is an X-ray a Useful Test for Esophageal Food Boluses? A Case Report

Area of Science:

• Radiology
• Gastroenterology

Background:

• Esophageal food bolus impaction is a common cause of acute chest discomfort.
• Diagnosis can be challenging, especially with radiolucent foreign bodies.

Purpose of the Study:

• To highlight the utility of plain film radiography in diagnosing esophageal food bolus impaction.
• To support the use of plain film in specific clinical scenarios.

Main Methods:

• Case report of a patient with symptoms suggestive of esophageal food bolus impaction.
• Review of diagnostic imaging, including plain film radiography.
• Endoscopic intervention for food bolus removal.

Main Results:

• Plain film radiography revealed a fluid level and proximal dilation in the esophagus.
• Endoscopy confirmed a food bolus impaction and identified the underlying etiology.
• The patient's symptoms resolved after prompt intervention.

Conclusions:

• Plain film radiography can be a valuable tool for diagnosing esophageal food bolus impaction.
• Consider plain film when patients remain symptomatic despite tolerating oral liquids.
• This imaging modality may help identify radiolucent esophageal obstructions.