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Combination Endoscopy Remove Esophageal Metal Foreign Body

Received: 17 July 2021     Accepted: 27 July 2021     Published: 2 August 2021
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Abstract

Background: Esophageal foreign body (EFB) incarceration is a rare but devastating disorder. The most maximum risk is aortic injury. Most of the EFBs could be removed out by only one endoscopy with several accessories if there is no pierce to the aorta. Some EFBs removing needs multidisciplinary co-operation. Herein a case of successful removing by combination of two types of endoscopies is presented. Case presentation: A 40-years-male criminal swallowed a type “c” metal wire deliberately to try to escape capturing. He was diagnosed of EFB incarceration in esophagus. Ordinary chest computerized tomography (CT) in local hospital showed a type “c” metal wire was incarcerated in the esophageal muscle, and the upper hook of the wire was very close to the arch of the aorta. It was hard to remove the metal wire only by gastric endoscopy, since it was likely to occur iatrogenic injury. After combination of gastric endoscopy and rigid esophagoscopy used, the metal wire was removed successfully, and the criminal was discharged and gradually returned to normal diet. Conclusion: More co-operation or various types of endoscopy may be used in the removing of EFB, multidisciplinary and any other tools are necessary whatever works.

Published in World Journal of Medical Case Reports (Volume 2, Issue 3)
DOI 10.11648/j.wjmcr.20210203.13
Page(s) 41-45
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Case Report, Esophageal Foreign Bodies, Metal Hooks, Gastric Endoscopy, Rigid Esophagoscopy

References
[1] E M Kil'dyushov, E V Egorova, A N Kuzin, et al. Foreign body in the esophagus as a reason to assess the medical aid quality during the forensic medical examination [J]. Sud Med Ekspert. 2021; 64 (1): 48-50.
[2] Zhang X, Liu J, Li J, et al. Diagnosis and treatment of 32 cases with aortoesophageal fistula due to esophageal foreign body [J]. Laryngoscope. 2011; 121 (2): 267–72.
[3] Lafferty M, Lyttle MD, Mullen N, et al. Ingestion of metallic foreign bodies: A Paediatric Emergency Research in the United Kingdom and Ireland survey of current practice and hand-held metal detector use [J]. J Paediatr Child Health. 2021 Mar 15.
[4] Jenny Bui, Hadley Wilson, Luigi Pascarella, et al. Multidisciplinary Management of an Aorto-esophageal Injury Caused by Foreign Body Ingestion [J]. Ann Vasc Surg. 2020 Dec 14; S0890-5096(20)31027-X.
[5] Li WX, Dong Y, Zhang A, et al. (Management of deep neck infections from cervicale sophageal perforation caused by foreign body: A case series study [J]. Am J Otolaryngol. 2021 Mar-Apr; 42 (2): 102870.
[6] Hauge T, Kleven OC, Johnson E, et al. (Outcome after accidental food bolus-induced esophageal perforation [J]. Scand J Gastroenterol. 2018 Aug; 53 (8): 905-909.
[7] Chang S, Cheng BC, Huang J, et al. Classification and surgical treatment of intrathoracic esophageal injury caused by foreign body [J]. Zhonghua Wai Ke Za Zhi. 2006 Mar 15; 44 (6): 409-11.
[8] Zhao S, Tinzin L, Deng W, et al. Sudden Unexpected Death Due to Left Subclavian Artery-esophageal Fistula Caused by Fish Bone [J]. J Forensic Sci. 2019 Nov; 64 (6): 1926-1928.
[9] Vats M, Ramasamy S, Neogi S, et al. Ingestion of nine metallic nails with corrosive: what happened next? [J]. BMJ Case Rep. 2017 Nov 21; 2017: bcr2017222338.
[10] Kevin M Lichtenstein, Thomas B Russell, Julia B Lichtenstein, et al. A date pit induced aorto-oesophageal fistula: a case report and concise literature review [J]. Oxf Med Case Reports. 2021 Feb 15; 2021 (2): omaa140.
[11] Ojio H, Tanaka Y, Sato Y, et al. A case of submucosal abscess of the esophagus mimicking a mediastinalabscess [J]. Clin J Gastroenterol. 2020 Nov 27.
[12] Ruan WS, Lu YQ. The life-saving emergency thoracic endovascular aorta repair management on suspected aortoesophageal foreign body injury [J]. World J Emerg Med. 2020; 11 (3): 152-156.
[13] Yanagihara T, Ichimura H, Kobayashi K, et al. Successful Surgical Closure of an Esophagobronchial Fistula Caused by a Foreign Body in the Esophagus of a Female Octogenarian with a Delayed Diagnosis: A Case Report [J]. Ann Thorac Cardiovasc Surg. 2018 Jun 1.
[14] Jiang D, Lu Y, Zhang Y, et al. Aortic penetration due to a fish bone: a case report [J]. J Cardiothorac Surg. 2020 Oct 2; 15 (1): 292.
[15] Yu-Yan Zhang, Shan Li, Xiang-Lei Yuan, et al. Aorto-esophageal fistula caused by fishbone ingestion: a case report on staged endovascular and endoscopic treatment [J]. BMC Gastroenterol. 2021 Feb 2; 21 (1): 46.
[16] Shaffer AD, Jacobs IN, Derkay CS, et al. Management and Outcomes of Button Batteries in the Aerodigestive Tract: A Multi-institutional Study [J]. Laryngoscope. 2021 Jan; 131 (1): E298-E306.
[17] Berry AC, Draganov PV, Patel BB, et al. Embedded pork bone causing esophageal and an esophagus-innominate artery fistula [J]. Case Rep Gastrointest Med. 2014: 969862.
[18] Sammer MBK, Kan JH, Somcio R, et al. Chest CT for the Diagnosis of Pediatric Esophageal Foreign Bodies [J]. Curr Probl Diagn Radiol. 2021 Mar 8: S0363-0188(21)00047-5.
[19] Chang JM, Yoo YS, Kim DW. Application of Three-dimensional Reconstruction in Esophageal Foreign Bodies [J]. Korean J Thorac Cardiovasc Surg. 2011 Oct; 44 (5): 368-72.
[20] Wu WT, Chiu CT, Kuo CJ, et al. Endoscopic management of suspected esophageal foreign body in adults [J]. Dis Esophagus. 2011 Apr; 24 (3): 131-7.
[21] Zhong Q, Jiang R, Zheng X, et al. Esophageal foreign body ingestion in adults on weekdays and holidays: A retrospective study of 1058 patients [J]. Medicine (Baltimore). 2017 Oct; 96 (43): e8409.
[22] N'Gattia KV, Kacouchia NB, Kouassi YM, et al. Extraction of the esophageal foreign bodies by cervicotomy: our experience about 9 cases [J]. Rev Laryngol Otol Rhinol (Bord). 2011; 132 (2): 123-8.
[23] Valente AL, Parga ML, Velarde R, et al. Fishhook lesions in loggerhead sea turtles [J]. J Wildl Dis. 2007 Oct; 43 (4): 737-41.
Cite This Article
  • APA Style

    Tianyu Liu, Meiling Shu, Xiaoqi Long, Zheng Zou. (2021). Combination Endoscopy Remove Esophageal Metal Foreign Body. World Journal of Medical Case Reports, 2(3), 41-45. https://doi.org/10.11648/j.wjmcr.20210203.13

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    ACS Style

    Tianyu Liu; Meiling Shu; Xiaoqi Long; Zheng Zou. Combination Endoscopy Remove Esophageal Metal Foreign Body. World J. Med. Case Rep. 2021, 2(3), 41-45. doi: 10.11648/j.wjmcr.20210203.13

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    AMA Style

    Tianyu Liu, Meiling Shu, Xiaoqi Long, Zheng Zou. Combination Endoscopy Remove Esophageal Metal Foreign Body. World J Med Case Rep. 2021;2(3):41-45. doi: 10.11648/j.wjmcr.20210203.13

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  • @article{10.11648/j.wjmcr.20210203.13,
      author = {Tianyu Liu and Meiling Shu and Xiaoqi Long and Zheng Zou},
      title = {Combination Endoscopy Remove Esophageal Metal Foreign Body},
      journal = {World Journal of Medical Case Reports},
      volume = {2},
      number = {3},
      pages = {41-45},
      doi = {10.11648/j.wjmcr.20210203.13},
      url = {https://doi.org/10.11648/j.wjmcr.20210203.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20210203.13},
      abstract = {Background: Esophageal foreign body (EFB) incarceration is a rare but devastating disorder. The most maximum risk is aortic injury. Most of the EFBs could be removed out by only one endoscopy with several accessories if there is no pierce to the aorta. Some EFBs removing needs multidisciplinary co-operation. Herein a case of successful removing by combination of two types of endoscopies is presented. Case presentation: A 40-years-male criminal swallowed a type “c” metal wire deliberately to try to escape capturing. He was diagnosed of EFB incarceration in esophagus. Ordinary chest computerized tomography (CT) in local hospital showed a type “c” metal wire was incarcerated in the esophageal muscle, and the upper hook of the wire was very close to the arch of the aorta. It was hard to remove the metal wire only by gastric endoscopy, since it was likely to occur iatrogenic injury. After combination of gastric endoscopy and rigid esophagoscopy used, the metal wire was removed successfully, and the criminal was discharged and gradually returned to normal diet. Conclusion: More co-operation or various types of endoscopy may be used in the removing of EFB, multidisciplinary and any other tools are necessary whatever works.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Combination Endoscopy Remove Esophageal Metal Foreign Body
    AU  - Tianyu Liu
    AU  - Meiling Shu
    AU  - Xiaoqi Long
    AU  - Zheng Zou
    Y1  - 2021/08/02
    PY  - 2021
    N1  - https://doi.org/10.11648/j.wjmcr.20210203.13
    DO  - 10.11648/j.wjmcr.20210203.13
    T2  - World Journal of Medical Case Reports
    JF  - World Journal of Medical Case Reports
    JO  - World Journal of Medical Case Reports
    SP  - 41
    EP  - 45
    PB  - Science Publishing Group
    SN  - 2994-726X
    UR  - https://doi.org/10.11648/j.wjmcr.20210203.13
    AB  - Background: Esophageal foreign body (EFB) incarceration is a rare but devastating disorder. The most maximum risk is aortic injury. Most of the EFBs could be removed out by only one endoscopy with several accessories if there is no pierce to the aorta. Some EFBs removing needs multidisciplinary co-operation. Herein a case of successful removing by combination of two types of endoscopies is presented. Case presentation: A 40-years-male criminal swallowed a type “c” metal wire deliberately to try to escape capturing. He was diagnosed of EFB incarceration in esophagus. Ordinary chest computerized tomography (CT) in local hospital showed a type “c” metal wire was incarcerated in the esophageal muscle, and the upper hook of the wire was very close to the arch of the aorta. It was hard to remove the metal wire only by gastric endoscopy, since it was likely to occur iatrogenic injury. After combination of gastric endoscopy and rigid esophagoscopy used, the metal wire was removed successfully, and the criminal was discharged and gradually returned to normal diet. Conclusion: More co-operation or various types of endoscopy may be used in the removing of EFB, multidisciplinary and any other tools are necessary whatever works.
    VL  - 2
    IS  - 3
    ER  - 

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Author Information
  • Department of Digestive Endoscopy Center, Suining Central Hospital, Suining, P. R. China

  • Department of Digestive Endoscopy Center, Suining Central Hospital, Suining, P. R. China

  • Department of Digestive Endoscopy Center, Suining Central Hospital, Suining, P. R. China

  • Department of Digestive Endoscopy Center, Suining Central Hospital, Suining, P. R. China

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