Kim Heezoo, Kim Hyun Koo, Kang Gi-Run, Kang Du-Young, Choi Young Ho, Lim Sang-Ho
Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, College of Medicine, Korea University, Seoul, Korea.
Ann Thorac Surg. 2009 Sep;88(3):1019-21. doi: 10.1016/j.athoracsur.2009.01.061.
Foreign body ingestion is a commonly encountered clinical problem in pediatric emergency cases. The authors report a case of an esophageal foreign body caused by the accidental ingestion of a shell in an 8-month-old girl. Endoscopic removal was attempted but failed because of the sharp margin of the shell and caused it to be deeply impacted into the esophageal wall. Accordingly, a pneumatic lithotriptor was inserted through a rigid esophagoscope and used to fragment the shell.