Impacted foreign body in oesophagus video assisted thoracoscopic surgery approach


  • Raj Gajbhiye Department of Surgery, GMC, Nagpur, Maharashtra, India
  • Bhupesh Tirpude Department of Surgery, GMC, Nagpur, Maharashtra, India
  • Vikrant Akulwar Department of Surgery, GMC, Nagpur, Maharashtra, India
  • Hemant Bhanarkar Department of Surgery, GMC, Nagpur, Maharashtra, India
  • Aashish R. Chavan Department of Surgery, GMC, Nagpur, Maharashtra, India



Impacted, Foreign body oesophagus, Video assisted thoracoscopic surgery


Ingested foreign body in oesophagus is very common in emergency department. The most frequently ingested foreign bodies in children are coins, alkaline batteries while in adults’ meat, fish bones, denture. Most of the ingested foreign bodies pass spontaneously but 1% or less will require surgery. Here we report an interesting case of a mentally retarded young girl with impacted large stone in the lower oesophagus in whom endoscopic approach had failed. Then video assisted thoracoscopic surgery was done successfully to extract the impacted foreign body. A thoracoscopic approach is much safer and feasible in such cases.


Al-Qudah A, Daradkeh S, Abu-Khalaf M. Esophageal foreign bodies. Eur J Cardiothorac Surg. 1998;13(5):494-8.

Sittitrai P, Pattarasakulchai T, Tapatiwong H. Esophageal foreign bodies. J Med Assoc Thai. 2000;83(12):1514-8.

Macpherson RI, Hill JG, Othersen HB, Tagge EP, Smith CD. Esophageal foreign bodies in children: diagnosis, treatment, and complications. AJR Am J Roentgenol. 1996;166(4):919-24.

Baraka A, Bikhazi G. Oesophageal foreign bodies. Br Med J. 1975;1(5957):561-3.

Abdullah BJ, Teong LK, Mahadevan J, Jalaludin A. Dental prosthesis ingested and impacted in the esophagus and orolaryngopharynx. J Otolaryngol. 1998;27(4):190-4.

Hawkins DB. Removal of blunt foreign bodies from the esophagus. Ann Otol Rhinol Laryngol. 1990;99(12):935-40.

Uba AF, Sowande AO, Amusa YB, et al. Management of oesophageal foreign bodies in children. East Afr Med J. 2002;79(6):334-8.

Palanivelu C, Rangarajan M, Parthasarathi R, Senthilnathan P. Thoracoscopic retrieval of a “smiling” foreign body from the proximal esophagus. Surg Laparosc Endosc Percutan Tech. 2008;18:325-8.






Case Reports