TY - JOUR T1 - Unusual foreign body impacted in the upper oesophagus: original technique for transoral extraction JF - BMJ Case Reports DO - 10.1136/bcr-2018-225241 VL - 2018 SP - bcr-2018-225241 AU - Carlo Galdino Riva AU - Francesco Angelo Taddàus Toti AU - Stefano Siboni AU - Luigi Bonavina Y1 - 2018/06/26 UR - http://casereports.bmj.com/content/2018/bcr-2018-225241.abstract N2 - 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 A standard endoscopic biopsy forceps was passed through the hole of the sphere and was retracted with the jaws open allowing transoral extraction without complications. ER -