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Disappearing intraesophageal foreign body: A case report
Hong-Wei Qiao1, Yi-Fei Ye1, Lin-Xi Nie1
1Department of Anesthesiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
World Journal of Clinical Cases
|August 29, 2025
Summary
Foreign body removal during endoscopy can lead to silent aspiration in elderly patients. Prompt imaging and intervention are crucial for managing airway complications after esophageal foreign body procedures.
Area of Science:
- Gastroenterology
- Pulmonology
- Emergency Medicine
Background:
- Foreign body ingestion is a frequent clinical emergency.
- Complications during removal, like spontaneous displacement, are rare but serious.
- This case highlights a unique instance of esophageal foreign body displacement during endoscopy.
Observation:
- A 69-year-old woman with hypertension presented with esophageal foreign body symptoms.
- Endoscopic removal led to accidental foreign body dislodgement into the hypopharynx.
- Post-procedure, the patient developed hypoxia and coarse breath sounds, indicating airway involvement.
Findings:
- Imaging confirmed foreign body aspiration into the airway.
- Emergency bronchoscopy successfully retrieved the aspirated foreign body.
- The patient recovered fully without further complications.
Implications:
- Silent aspiration is a risk in elderly patients undergoing esophageal foreign body removal, especially those with diminished cough reflexes.
- Close monitoring and prompt bedside imaging are essential post-procedure.
- Timely intervention, such as bronchoscopy, can effectively manage airway complications.
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