An unusual presentation of a “foreign body in oesophagus” for over 6 months in a child

A 4-year-old male child with a history of chronic cough over 6 months was admitted to ENT unit. He was diagnosed to have a foreign body oesophagus on X-ray chest, which he ingested 6 months ago. He had been treated for cough many times and the diagnosis was made after he under wentoesophagoscopy and bronchoscopy. CT showed an oesophageal foreign body eroding in to the trachea with tracheoesophageal fistula formation. The foreign body was removed via thoracotomy, a 6-hour surgery involving a thoracic surgeon, a paediatric surgeon and an ENT surgeon. The child had an uneventful recovery after 6 days in ICU.