Ingested foreign body - pen

Case contributed by Dalia Ibrahim
Diagnosis certain

Presentation

Swallowed foreign body, her mother unsure of its nature.

Patient Data

Age: 2 years
Gender: Female
ct

Foreign body in the esophagus perforating its right lateral wall.

Right upper lung lobe consolidation.

Upper endoscopy showed a pen inside the mid-esophagus. It looks like it caused pressure necrosis and some penetration on the right lateral wall of the esophagus. It was caught with a foreign body forceps and extracted.

Images courtesy of Dr Mazen Naga.

Case Discussion

The pen in the upper esophagus, perforating its lateral wall, was extracted endoscopically.

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