Safe Extraction of an Impacted Open Safety Pin From the Cervical Esophagus : A Case Report

Hashizume Naoki, Terakura Hirotsugu, Hiki Saori, Yoshimoto Kazuhiko

doi:10.11164/jjsps.48.4_749

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安全な食道異物摘出の工夫 : 頸部食道に誤飲した開いた安全ピンの1例
症例報告安全な食道異物摘出の工夫 : 頸部食道に誤飲した開いた安全ピンの1例
ショウレイホウコクアンゼンナショクドウイブツテキシュツノクフウ : ケイブショクドウニゴインシタヒライタアンゼンピンノ 1レイ

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Description

Accidental ingestion of a foreign body is a common occurrence in children. However, the presence of an open safety pin (SP) in the cervical esophagus is rare. A 1-year-4-month-old boy was referred to our hospital because of accidental ingestion of an SP. His vital signs were normal, although plain radiography revealed an open SP impacted at the cervical esophagus. He was intubated under general anesthesia, and SP removal using a flexible pediatric esophagoscope was attempted. Briefly, the SP was first advanced to the stomach under esophagoscopy. An esophagoscope covered with an intubation tube as an "over-tube" was inserted in the stomach. The SP held with endoscopic forceps, was closed with snare forceps in the stomach. The SP was held again at the tail end with endoscopic forceps before being pulled into the over-tube. The SP was removed successfully together with the esophagoscope and over-tube. No apparent esophageal injury was detected endoscopically. He was discharged on postoperative day 3.

Journal

Journal of the Japanese Society of Pediatric Surgeons

Journal of the Japanese Society of Pediatric Surgeons 48 (4), 749-753, 2012

The Japanese Society of Pediatric Surgeons

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