Korean J Otorhinolaryngol-Head Neck Surg.  2022 May;65(5):288-292. 10.3342/kjorl-hns.2021.00920.

A Case of Migrated Esophageal Foreign Body Removal Through Cervical Approach Under C-Arm Fluoroscopic Guidance

• Choi SW
• Lee M
• Lee JC
• Sung ES

• KMID: 2530287
• DOI: http://doi.org/10.3342/kjorl-hns.2021.00920

Abstract

Foreign bodies in the upper airway and the esophagus are common and often removed in the outpatient setting using the rigid or flexible laryngoscope. Although most esophageal foreign bodies are removed from the digestive tract, in some cases, surgical intervention is required due to its difficult location. Esophageal foreign bodies often removed by esophagogastroduodenoscopy, but when they penetrate the esophagus and move to deep neck spaces, other approaches should be taken into consideration. We report a rare case of a 13-year-old patient whose esophageal foreign body moved to a deep neck compartment, which was embedded in the anterior vertebral muscle. We decided to perform neck exploration under C-arm guidance, successfully targeted and removed the foreign body.

Keyword

Esophagus; Fluoroscopy; Foreign body; Pediatrics