Saudi Journal of Gastroenterology
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Year : 2012  |  Volume : 18  |  Issue : 3  |  Page : 221-222

Endoscopic management for delayed diagnosis of a foreign body penetrating the esophagus into the lung

1 Department of Medicine, Long Island Jewish Medical Center, New Hyde Park, NY, USA
2 Department of Cardiothoracic Surgery, Long Island Jewish Medical Center, New Hyde Park, NY, USA
3 Department of Medicine, Winthrop University Hospital, Mineola, NY, USA

Correspondence Address:
Shahzad Iqbal
222 Station Plaza North, Suite 429, Mineola, NY 11501
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.96467

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A 31-year-old male presented with chest pain started after eating chicken about 2 weeks earlier. Upper endoscopy and Computed tomography scan of the chest revealed a sharp chicken bone penetrating the esophageal wall into the right lung. The foreign body was removed endoscopically using a rat-tooth forceps, followed by prophylactic placement of a metal stent across the esophageal perforation site. Foreign body-induced perforation is one of the common etiologies of benign esophageal perforations. Although the primary treatment is surgery, endoscopic therapy may be appropriate in individualized cases like our patient.

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