Related Experiment Video
Updated: May 12, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Esophagus Impaction and Perforation by Jujube: A Tale of Double Trouble
Ahmad Shukri Mohamad1,2, Ikhwan Sani Mohamad1,2, Michael Wong Pak Kai1,2
1Department of Surgery, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Abstract:
Sharp foreign body ingestion may result in simple impaction to mucosal perforation along the gastrointestinal tract. We report a rare case of a 62-year-old woman with jujube ingestion, a fruit that contains sharp-edged seeds causing impaction in the esophagus. Contrast computed tomography (CT) confirmed the transverse lie of the seed at the esophageal wall with features of through-and-through perforation. Flexible endoscopy under local anaesthesia successfully retrieved the jujube seed, followed by application of endoscopic hemoclips for the esophageal perforation. The patient was discharged well within a few days with no fatal outcomes.
Related Concept Videos
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Esophageal Strictures-I: Introduction
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure entails...
Intestinal Obstruction II: Pathophysiology