Li Dongjie, Nan Ling, Niu Kai, Yin Wanzhong, Zhu Wei, Wang Xin
Department of Otolaryngology-Head & Neck Surgery.
Department of Anesthesiology, First Hospital of Jilin University, Changchun 130021, Jilin Province, People's Republic of China.
Medicine (Baltimore). 2019 Nov;98(48):e18105. doi: 10.1097/MD.0000000000018105.
The ingestion of a foreign body (FB) with complete impaction of the esophagus is not common. Here we report a rare case of successful retrieval of a spherical stone in the esophagus of a man with mental retardation, using gallbladder grasping forceps and rigid endoscope.
A mental retarded man came to the emergency department presenting with recurrent nausea, vomiting, and dysphagia after swallowing a spherical stone. He had previously undergone an FB extraction under general anesthesia by fiberoptic esophagoscopy, which failed.
The diagnosis of FB ingestion was confirmed by anteroposterior plain film x-ray of the chest and chest computed tomography (CT), which showed the ingested spherical FB in the upper esophagus.
After multiple failed attempts using other instruments, the FB was successfully removed with gallbladder grasping forceps through a rigid esophagoscope.
The patient was discharged without any complications. The nasogastric tube was extubated at the 10-day follow-up.
For esophageal retrieval of uncommon FBs, the instrument used is crucial. We report our experience retrieving a large and spherical FB in the upper esophagus using gallbladder grasping forceps. This proved to be an effective strategy, eliminating the need for thoracotomy.
吞食异物（FB）并导致食管完全梗阻并不常见。在此，我们报告一例罕见病例，一名患有智力障碍的男性食管内的球形结石通过胆囊抓钳和硬质内窥镜成功取出。
一名智力障碍男性因吞食球形结石后反复出现恶心、呕吐和吞咽困难来到急诊科。他此前曾在全身麻醉下通过纤维食管镜进行异物取出，但失败了。
胸部前后位平片X线和胸部计算机断层扫描（CT）证实了异物吞食的诊断，显示食管上段有吞食的球形异物。
在多次使用其他器械尝试失败后，通过硬质食管镜用胆囊抓钳成功取出异物。
患者出院，无任何并发症。在10天的随访中拔除了鼻胃管。
对于食管内罕见异物的取出，所用器械至关重要。我们报告了使用胆囊抓钳在上段食管取出大的球形异物的经验。这被证明是一种有效的策略，无需开胸手术。
