A rare reason for intubation: esophageal foreign body lodged in the upper esophageal stricture
Omer Topaloglu1,Alaaddin Buran2,Elvan Senturk Topaloglu3,Sami Karapolat2
Current Thoracic Surgery
2024;9(3):147-149. (31 December 2024)
1Department of Thoracic Surgery, Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey
2Department of Thoracic Surgery, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey
3Department of Pulmonology, Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey
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Esophageal foreign bodies are more common in children than in adults. However, in older individuals
without teeth, food swallowed without thorough mastication can get lodged in the esophagus. Herein,
we report the case of a 77-year-old woman who presented with severe dyspnea, dysphagia, and a globus
sensation in her throat. The patient required intubation owing to progressive dyspnea and rapid peripheral
saturation decrease and was found to have a foreign body lodged in her proximal esophagus, which was
removed using McGill forceps under direct visualization. Subsequently, the patient was extubated and
transferred to the ward. Complaints of dysphagia in older patients with mastication problems should prompt
clinicians to consider foreign body impaction. The proximal esophagus is the most common site for foreign
body entrapment. If left unmanaged, foreign bodies lodged in the upper gastrointestinal tract can cause
serious life-threatening conditions. Appropriate diagnosis and treatment can help minimize potential risks.
Keywords :
esophageal foreign bodies, difficult intubation, management, airways, surgery