title: Endoscopic management for delayed diagnosis of a foreign body penetrating the esophagus into the lung.
abstract: A 31-year-old male presented with chest pain started after eating chicken about 2 weeks earlier. Upper endoscopy and Computed tomography scan of the chest revealed a sharp chicken bone penetrating the esophageal wall into the right lung. The foreign body was removed endoscopically using a rat-tooth forceps, followed by prophylactic placement of a metal stent across the esophageal perforation site. Foreign body-induced perforation is one of the common etiologies of benign esophageal perforations. Although the primary treatment is surgery, endoscopic therapy may be appropriate in individualized cases like our patient.
authors.affiliation: Department of Medicine, Winthrop University Hospital, Mineola, NY, USA.
authors.forename: Na
authors.initials: N
authors.lastname: Li
authors.forename: Frank
authors.initials: F
authors.lastname: Manetta
authors.forename: Shahzad
authors.initials: S
authors.lastname: Iqbal
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004939:Esophageal Perforation / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery*; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008168:Lung; D008297:Male; D014057:Tomography, X-Ray Computed