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Unusual foreign body impacted in the upper oesophagus: original technique for transoral extraction
  1. Carlo Galdino Riva,
  2. Francesco Angelo Taddàus Toti,
  3. Stefano Siboni,
  4. Luigi Bonavina
  1. Department of Surgery, IRCCS Policlinico San Donato, Università degli Studi di Milano, Milano, Italy
  1. Correspondence to Professor Luigi Bonavina, luigi.bonavina{at}


Foreign body ingestion is a common event; in the adult population, most ingestions occur in patients with mental disability, psychiatric disorders, alcohol intoxication or in prisoners seeking secondary gain. Removal through flexible endoscopy is generally the first-line approach but rescue oesophagotomy may be necessary for foreign bodies impacted in the upper oesophagus. A 27-year-old man was admitted in the emergency room after intentional ingestion of a wooden spherical object with a central hole. A total body CT scan showed that the object was completely obstructing the upper oesophageal lumen but there were no signs of perforation. In the operating room, a Weerda diverticuloscope and a 5 mm 0° telescope were used to visualise the foreign body under general anaesthesia. A standard endoscopic biopsy forceps was passed through the hole of the sphere and was retracted with the jaws open allowing transoral extraction without complications.

  • endoscopy
  • emergency medicine
  • oesophagus
  • gastrointestinal surgery
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  • Contributors CGR, FATT and SS collected the data and wrote the first draft of the manuscript. LB revised the manuscript. All authors approved the final draft.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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