Open AccessEndoscopic management for delayed diagnosis of a foreign body penetrating the esophagus into the lung
Author(s) -
Na Li,
Frank Manetta,
Shahzad Iqbal
Publication year - 2012
Publication title -
the saudi journal of gastroenterology/saudi journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.608
H-Index - 32
eISSN - 1998-4049
pISSN - 1319-3767
DOI - 10.4103/1319-3767.96467
Subject(s) - medicine , foreign body , forceps , esophagus , perforation , endoscopy , surgery , etiology , stent , lung , radiology , computed tomography , punching , metallurgy , materials science
A 31-year-old male presented with chest pain started after eating chicken about 2 weeks earlier. Upper endoscopy and Computed tomography scan of the chest revealed a sharp chicken bone penetrating the esophageal wall into the right lung. The foreign body was removed endoscopically using a rat-tooth forceps, followed by prophylactic placement of a metal stent across the esophageal perforation site. Foreign body-induced perforation is one of the common etiologies of benign esophageal perforations. Although the primary treatment is surgery, endoscopic therapy may be appropriate in individualized cases like our patient.