Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Gastrointestinal Medicine
Volume 2017, Article ID 5468131, 3 pages
https://doi.org/10.1155/2017/5468131
Case Report

Impacted Metallic Spring Requiring Cervical Esophagotomy: A Case Report and Review of the Literature on Foreign Body Removal

1Department of Internal Medicine, University of Florida Health, 1600 SW Archer Rd, Gainesville, FL 32610, USA
2Department of Internal Medicine, Division of Gastroenterology, Carolinas Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203, USA
3Department of Internal Medicine, Division of Gastroenterology & Hepatology, Thomas Jefferson University, 833 Chestnut St., Philadelphia, PA 19107, USA

Correspondence should be addressed to Patrick Stoner; ude.lfu.enicidem@renots.kcirtap

Received 17 July 2017; Accepted 18 October 2017; Published 6 December 2017

Academic Editor: Shiro Kikuchi

Copyright © 2017 Patrick Stoner et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.