The missing piece.
A 59-year-old female was admitted due to the suspicion of food impactation after having eaten bread. An upper endoscopy revealed an indeterminate, bluish foreign body in the mid esophagus that was extracted with a forceps. After removal, it was clear that it was a puzzle piece. The patient then recalled that she had been playing with a puzzle with her granddaughter, while eating bread.
Gastroenterology, Centro Hospitalar São João, Portugal.
Andreia
A
Albuquerque
Gastroenterology, Centro Hospitalar São João, Portugal.
Margarida
M
Marques
Gastroenterology, Centro Hospitalar S. João, Portugal.
Guilherme
G
Macedo
D004947:Esophagus / Q000000981:diagnostic imaging; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000628:therapy*; D005773:Gastroscopy; D006801:Humans; D008875:Middle Aged