Removal of a Large Stone in the Upper Thoracic Esophagus

Abstract

Ingestion of a foreign body is a common occurrence. Flexible endoscopy is most commonly used for treatment, but certain large foreign bodies are more easily retrieved with rigid endoscopy. We present a technically challenging case of intentional ingestion of a large stone that required retrieval from the upper thoracic esophagus using rigid endoscopy. This case highlights the importance of alternative methods to manage large foreign bodies and of collaboration of medical subspecialties.

Laser lithotripsy to treat a huge incarcerated esophageal bezoar

“…A bezoar that lodges in the esophagus often causes acute obstruction; its most acute onset can cause chest pain and difficulty in swallowing. If the bezoar is incarcerated in the esophagus for a longer time, the esophageal wall can ulcerate, bleed, and even perforate 3 . Usually, a wire-guided retrieval basket or snare is used as the first approach for foreign body removal in the esophagus 4 5 ; however, alternative methods to manage large foreign bodies should be considered.…”