Cervical Esophagotomy for Removal of an Ingested Clam Shell: A Very Uncommon Foreign Body Ingestion | Zendy

Virgilio Edoardo | Zendy; Giuliani Diletta | Zendy; Nigro Alice | Zendy; Gasparrini Marcello | Zendy; Balducci Genoveffa | Zendy

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Cervical Esophagotomy for Removal of an Ingested Clam Shell: A Very Uncommon Foreign Body Ingestion

Author(s) -

Virgilio Edoardo,

Giuliani Diletta,

Nigro Alice,

Gasparrini Marcello,

Balducci Genoveffa

Publication year - 2017

Publication title -

medical principles and practice

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.426

H-Index - 45

eISSN - 1423-0151

pISSN - 1011-7571

DOI - 10.1159/000477403

Subject(s) - case report

Objective: To report the removal of an ingested clam shell that was firmly impacted in the esophagus. Clinical Presentation and Intervention: A 77-year-old man presented at our hospital with acute dysphagia after eating a seafood risotto. An urgent dedicated examination (noncontrast helical multislice computed tomography scan of the neck and flexible esophagoscopy) detected a clam shell lodged in the upper esophagus. After several unsuccessful endoscopic attempts, a lifesaving cervical esophagotomy was performed and the foreign body was retrieved. Conclusion: This patient who ingested clam shell recovered well following the retrieval of the foreign body by performing a lifesaving cervical esophagotomy.

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