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Impacted Metallic Foreign-body in Esophagus: Our Experience with a Turbulent Case and a Review of Management

Karthikarajam Veerapthiran1, Harish Chandra Tudu2, Subrat Kumar Mohanty2

  • 1Department of General Surgery, Kalinga Institute of Medical Sciences, Kushabhadra Campus, Bhubaneswar, Odisha, India.

Journal of Indian Association of Pediatric Surgeons
|April 7, 2025
PubMed

Insights

Foreign-body ingestion is common in children, but complications like esophageal perforation are rare. This case study shows successful management of a pediatric patient with an impacted foreign body causing esophageal perforation.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Pediatrics

Background:

  • Foreign-body ingestion is a frequent occurrence in pediatric patients.
  • Most ingested foreign bodies pass spontaneously without complications.

Observation:

  • A 21-month-old boy presented with symptoms of foreign-body ingestion.
  • The ingested foreign body was impacted, leading to esophageal perforation.

Findings:

  • The case involved a complex foreign-body impaction requiring intervention.
  • Successful management of the esophageal perforation was achieved.

Implications:

  • Highlights the importance of prompt multidisciplinary intervention in pediatric foreign-body emergencies.
  • Demonstrates successful outcomes are achievable even with severe complications such as esophageal perforation.

Keywords:
Esophagusimpactionperforation

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