Abstract
BackgroundForeign body ingestion is common, especially in the pediatric population. Plans for retrieval should be tailored to the specific esophageal foreign bodies.Case presentationWe present a difficult to retrieve esophageal foreign body in a 3-year-old girl who ingested a 2 cm glass pebble. Intraoperatively, attempts using conventional optical forceps and retrieval baskets were unsuccessful due to the size and smooth texture of the object. A novel strategy using double Fogarty embolectomy balloon catheters for retrieval of blunt esophageal foreign bodies was devised and described.ConclusionThe double fogarty retrieval technique described appeared to be safe and efficacious, allowing for extraction of large esophageal foreign bodies under direct visualization.
Highlights
Foreign body ingestion is common, with the majority of cases occurring in the pediatric population [1, 2]
Thereafter, rigid esophagoscopy using a pediatric esophagoscope confirmed the presence of a semi-translucent smooth foreign body in the upper esophagus
With the endoscope in place, the catheter was threaded through the suction port of the rigid esophagoscope, passed distally to the foreign body, and maximally inflated
Summary
Foreign body ingestion is common, with the majority of cases occurring in the pediatric population [1, 2]. Management of foreign body ingestions varies based on the shape and size of the object ingested, its location, and the patients’ age and size. The majority of pediatric cases involve accidental coin ingestion [1, 3], plans for retrieval have to be tailored to the specific foreign body ingested. An endoscopic approach with concurrent airway protection is favoured. On occasion, this may prove difficult due to the characteristics and size of the ingested item. We report a case of foreign body retrieval with rigid endoscopy utilizing a novel double Fogarty balloon catheter approach
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