title: Successful removal of indigested shell using a rigid esophagoscope and a pneumatic lithotriptor.
abstract: 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.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, College of Medicine, Korea University, Seoul, Korea.
authors.forename: Heezoo
authors.initials: H
authors.lastname: Kim
authors.forename: Hyun Koo
authors.initials: HK
authors.lastname: Kim
authors.forename: Gi-Run
authors.initials: GR
authors.lastname: Kang
authors.forename: Du-Young
authors.initials: DY
authors.lastname: Kang
authors.forename: Young Ho
authors.initials: YH
authors.lastname: Choi
authors.forename: Sang-Ho
authors.initials: SH
authors.lastname: Lim
mesh_terms: D000818:Animals; D049872:Bivalvia; D020701:Esophagoscopes; D004947:Esophagus / Q000000981:diagnostic imaging; D005260:Female; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007223:Infant; D008096:Lithotripsy / Q000295:instrumentation*; D011859:Radiography