Real Time Fluoroscopy Guided Extraction of an Impacted Oesophageal Foreign Body:
A Case Report
Department of ENT, Nigerian Navy Reference Hospital, Lagos, Nigeria
*Corresponding Author: Ukamaka Nwankwo, Department of ENT, Nigerian Navy Reference Hospital, Lagos, Nigeria.
July 08, 2021; Published: July 22, 2021
The incidence of children swallowing foreign bodies or items is high because of their exploratory tendencies. Sharp or large foreign items can get impacted in the oesophagus with associated complications. Duration of impaction and poor visualization of the foreign item may make the extraction process difficult.
This is a case report of the management of a 9-year-old boy with 6 days history of oesophageal foreign item impaction. He had emergency rigid oesophagoscopy with real time fluoroscopy guided extraction of the foreign body. This report highlights the advantage of using real time fluoroscopy in the extraction of impacted, metallic, foreign items.
Keywords: Foreign Bodies; Real Time Fluoroscopy; Oesophagus; Impacted
- Oguntoye OO., et al. “Removal of an impacted foreign body from the upper airway with a gastroscope in a tertiary hospital in south-west Nigeria- A case report”. Gastroenterology, Hepatology and Digestive Disorders1 (2020): 1-5.
- Salih A., et al. “Airway foreign bodies. A critical review for a common pediatric emergency”. World Journal of Emergency Medicine 7 (2016): 5-12.
- Afolabi OA., et al. “Re-emergence of coin in Nigerian currency: Implication in medical practice”. The Internet Journal of Otorhinolaryngology1 (2009).
- Riva CG., et al. “Unusual foreign body impacted in the upper oesophagus: original technique for transoral extraction”. BMJ Case Reports (2018).
- Bonavina, L., et al. “Thoracoscopic removal of dental prosthesis impacted in the upper thoracic esophagus”. World Journal of Emergency Surgery 9 (2014): 5.
- Dray X and Cattan P. “Foreign bodies and caustic lesions”. Best Practice and Research Clinical Gastroenterology 27 (2013): 679-689.
- Ashraf O. “Foreign body in the esophagus. A review”. Sao Paulo Medical Journal 126 (2006): 346-349.
- Birk M., et al. “Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline”. Endoscopy 48 (2016): 1-8.
- Wyllie R. “Foreign bodies in the gastrointestinal tract”. Current Opinion in Pediatrics5 (2006): 563-564.
- Guven DG., et al. “Fluoroscopy guided removal of a metallic foreign body in the neck: a case report”. Konulrap Tip Dergisi1 (2013): 42-45.
- Gupta P and Jain AK. “Foreign bodies in upper aero-digestive tract: A clinical study”. International Journal of Research in Medical Sciences 2 (2014): 886-891.
- Ibekwe MU., et al. “Swallowed foreign bodies in the University of Port harcourt Teaching Hospital; Profile and challenges in management”. IAR Journal of Medical Sciences2 (2021): 181-187.
- Conners GP and Mohseni M. “Pediatric Foreign Body Ingestion”. In: StatPearls [Internet]. Treasure Island (FL). Stat Pearls Publishing (2020).
- Gingold E. Modern fluoroscopy imaging systems (2014).