Trans thoracic oesophagotomy in managing impacted foreign body at lower oesophagus

Accidental ingestion of foreign bodies is very common in paediatric and elderly patients. In elderly it is commonly seen in patients with poor sensory perception and psychiatric disorders. Ingestion of dental appliances is the commonest cause seen in normal adults. Cervical oesophagus is the commonest site of impaction followed by mid and lower oesophagus. Most of these foreign bodies don't require a surgical intervention and will pass through the gastrointestinal tract without a major sequel. Out of these 10-20% may require endoscopic removal and nearly 1% will require formal thoracoscopic or open surgical intervention. Here we present a case of removal of dental prosthesis impacted in lower oesophagus via transthoracic oesophagotomy.