Case Series
 
Surgical management of an impacted sharp metallic foreign body in esophagus
Sharma NK1, Yadav VK1, Pokharna P1, Devgaraha S1, Mathur RM1
1Department of CTVS, S. M. S Medical College, Jaipur, Rajasthan, India.

doi:10.5348/ijcri-2013-09-357-CS-1

Address correspondence to:
Dr. Neeraj Kumar Sharma
S. M. S Medical College Jaipur
Rajasthan
India
Email: drneerajji@yahoo.co.in

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How to cite this article:
Sharma NK, Yadav VK, Pokharna P, Devgaraha S, Mathur RM. Surgical management of an impacted sharp metallic foreign body in esophagus. International Journal of Case Reports and Images 2013;4(9):463–466.


Abstract
Introduction: Ingestion of foreign bodies is common and the esophagus is the most common site of impaction in the upper gastrointestinal tract.
Case Report: We report two cases of impacted metallic foreign bodies in upper esophagus. The presentating symptoms were throat pain and dysphagia. Rigid and flexible esophagoscopy failed to retrieve the foreign body in both cases hence lateral cervical esophagostomy was performed for foreign body removal.
Conclusion: Ingestion of foreign bodies is common. Some metallic foreign bodies frequently get impacted in the esophagus because of their large size, rigidity and pointed edges and are difficult to remove by endoscopy. Therefore, surgery is required for retrieval of such impacted, sharp, metallic foreign bodies.

Keywords: Impactation, Lateral cervical esophagostomy, Foreign body


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Author Contributions:
Sharma NK – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Yadav VK – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Pokharna P – Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Devgaraha S – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mathur RM – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Sharma NK et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)