Published online Sep 16, 2014. doi: 10.4253/wjge.v6.i9.453
Revised: June 3, 2014
Accepted: June 27, 2014
Published online: September 16, 2014
Foreign body ingestion is an emergency or acute situation that commonly occurs in children or adults and involves the ingestion of one or more objects. Moreover, once the discovery of swallowed foreign bodies has been made, families are typically very anxious to have the patient see a doctor. If the foreign object becomes embedded in the digestive tract, it must be removed; in emergencies, this is done by endoscopy or surgery. This case report presents the successful endoscopic retrieval of a chopstick with both sides embedded 4 cm into the esophageal wall for > 10 mo in a male patient following automutilation in an attempt to be released from a psychiatric hospital. Hot hemostatic forceps were used to open the distal esophageal mucosa in which the chopstick was embedded. The procedure was performed under intravenous general anesthesia and took approximately 7 h.
Core tip: Foreign body ingestion is an emergency that often occurs in children or adults with psychiatric disorders or mental retardation. Here, we report the unique case of a chopstick lodged in the esophagus for 10 mo in a 50-year-old man. The chopstick was embedded 4 cm into the esophageal wall at both ends. Therefore, the procedure was performed under intravenous anesthesia. We made a 4-cm long incision, approximately 1 cm in depth in the esophageal mucosa using hot hemostatic forceps. This procedure took approximately 7 h to perform and an 18-cm long chopstick was removed.