TITLE:
Open Thoracic Surgery for Removal of a Two-Year-Old Impacted Esophageal Coin
AUTHORS:
Isaac Okyere, Samuel Gyasi Brenu, Perditer Okyere
KEYWORDS:
Foreign Body, Esophagus, Retrieval, Thoracotomy, Coin
JOURNAL NAME:
Open Journal of Thoracic Surgery,
Vol.10 No.1,
February
28,
2020
ABSTRACT: Introduction: Esophageal foreign bodies are important and serious cause of morbidity and mortality in both children and adults, usually as a result of serious complications, such as perforation, necrosis, mediastinitis, and fistulation. Therefore, rapid and accurate diagnosis with subsequent removal is very important. Clinical Case: We present and discuss the presentation, diagnosis and surgical management of a 6-year-old with a 2-year history of ingested coin locked in the oesophagus. Discussion: Diagnosis was established by upper gastrointestinal endoscopy, barium swallow and chest x-ray. The coin was removed by open surgery via oesophagotomy through right thoracotomy after failed retrieval via rigid oesophagoscopy. Conclusion: Surgical treatment in the form of esophagotomy via thoracotomy may be necessary in some cases of impacted foreign bodies in the esophagus where endoscopic removal is unsuccessful.