Impacted Metallic Spring Requiring Cervical Esophagotomy: A Case Report and Review of the Literature on Foreign Body Removal
Foreign body ingestion is a commonly encountered problem and can cause significant morbidity and mortality. When removal of a foreign body from the upper gastrointestinal tract is indicated, endoscopy is the modality of choice and has a high reported success rate. However, in less than 1% of cases,...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/5468131 |
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| _version_ | 1849434773821325312 |
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| author | Patrick Stoner Eric Hilgenfeldt Alexander Schlachterman |
| author_facet | Patrick Stoner Eric Hilgenfeldt Alexander Schlachterman |
| author_sort | Patrick Stoner |
| collection | DOAJ |
| description | Foreign body ingestion is a commonly encountered problem and can cause significant morbidity and mortality. When removal of a foreign body from the upper gastrointestinal tract is indicated, endoscopy is the modality of choice and has a high reported success rate. However, in less than 1% of cases, endoscopic removal of a foreign body is unsuccessful and surgical intervention is necessary. We report a unique case of a large, sharp metallic spring swallowed by an incarcerated patient which subsequently became lodged in his upper thoracic esophagus. This spring was unable to be removed endoscopically due to risk of perforation and cervical esophagotomy was needed for its successful removal, illustrating the limitations of endoscopic techniques in removal of foreign bodies and the role surgical intervention has in these rare instances. |
| format | Article |
| id | doaj-art-e3525512fab140b4b209c3c051e0c246 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-e3525512fab140b4b209c3c051e0c2462025-08-20T03:26:30ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362017-01-01201710.1155/2017/54681315468131Impacted Metallic Spring Requiring Cervical Esophagotomy: A Case Report and Review of the Literature on Foreign Body RemovalPatrick Stoner0Eric Hilgenfeldt1Alexander Schlachterman2Department of Internal Medicine, University of Florida Health, 1600 SW Archer Rd, Gainesville, FL 32610, USADepartment of Internal Medicine, Division of Gastroenterology, Carolinas Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203, USADepartment of Internal Medicine, Division of Gastroenterology & Hepatology, Thomas Jefferson University, 833 Chestnut St., Philadelphia, PA 19107, USAForeign body ingestion is a commonly encountered problem and can cause significant morbidity and mortality. When removal of a foreign body from the upper gastrointestinal tract is indicated, endoscopy is the modality of choice and has a high reported success rate. However, in less than 1% of cases, endoscopic removal of a foreign body is unsuccessful and surgical intervention is necessary. We report a unique case of a large, sharp metallic spring swallowed by an incarcerated patient which subsequently became lodged in his upper thoracic esophagus. This spring was unable to be removed endoscopically due to risk of perforation and cervical esophagotomy was needed for its successful removal, illustrating the limitations of endoscopic techniques in removal of foreign bodies and the role surgical intervention has in these rare instances.http://dx.doi.org/10.1155/2017/5468131 |
| spellingShingle | Patrick Stoner Eric Hilgenfeldt Alexander Schlachterman Impacted Metallic Spring Requiring Cervical Esophagotomy: A Case Report and Review of the Literature on Foreign Body Removal Case Reports in Gastrointestinal Medicine |
| title | Impacted Metallic Spring Requiring Cervical Esophagotomy: A Case Report and Review of the Literature on Foreign Body Removal |
| title_full | Impacted Metallic Spring Requiring Cervical Esophagotomy: A Case Report and Review of the Literature on Foreign Body Removal |
| title_fullStr | Impacted Metallic Spring Requiring Cervical Esophagotomy: A Case Report and Review of the Literature on Foreign Body Removal |
| title_full_unstemmed | Impacted Metallic Spring Requiring Cervical Esophagotomy: A Case Report and Review of the Literature on Foreign Body Removal |
| title_short | Impacted Metallic Spring Requiring Cervical Esophagotomy: A Case Report and Review of the Literature on Foreign Body Removal |
| title_sort | impacted metallic spring requiring cervical esophagotomy a case report and review of the literature on foreign body removal |
| url | http://dx.doi.org/10.1155/2017/5468131 |
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