Table of Contents
ISRN Surgery
Volume 2011 (2011), Article ID 621682, 3 pages
http://dx.doi.org/10.5402/2011/621682
Case Report

Perils of Prolonged Impaction of Oesophageal Foreign Bodies

1Department of Gastrointestinal Surgery, Medica North Bengal Clinic, Siliguri, West Bengal 7344003, India
2Department of Otorhinolaryngology/Head & Neck Surgery, Medica North Bengal Clinic, Siliguri, West Bengal 7344003, India

Received 4 March 2011; Accepted 12 April 2011

Academic Editor: C. F. Bianchi

Copyright © 2011 Saumitra Saha and Anandabrata Bose. 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

Ill-conceived effort at removal of impacted foreign bodies (FBs) in oesophagus vies with delay in removal as the causes of morbidity and mortality. Most oesophageal FBs are safely removed endoscopically when attempted early. However, large sharp FBs like dentures and meat bones can get deeply embedded in the wall with prolonged impaction or injudicious attempts at removal leading to life-threatening mediastinitis. Open surgery to access the oesophageal-impacted FB in such an event is hazardous. This report emphasizes the need for early site-specific surgical approaches that may be required, albeit rarely, for oesophageal-impacted FBs, where attempts at endoscopic removal have failed or complications have ensued.