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Rare Case of Long Retained Button Foreign Body in Esophagus Removed by Esophagotomy: A Case Report From Muhimbili National Hospital, Tanzania

In plain language

This report examines the clinical complexities involved in addressing dysphagia caused by a long-retained esophageal foreign body. It outlines the specific diagnostic and treatment obstacles encountered when managing such prolonged cases. The clinical presentation involved a rare case of a patient suffering from long-standing swallowing difficulties due to an ingested button lodged within the esophagus. Because of the nature and duration of the obstruction, standard non-invasive removal was not suitable. The foreign body was ultimately and successfully retrieved through open surgery, specifically using a thoracotomy combined with an esophagotomy. The case highlights surgery as an essential intervention for rare esophageal obstructions.

Key takeaways

  • A long-retained button in the esophagus caused long-standing dysphagia.
  • Long-retained esophageal foreign bodies present distinct diagnostic and treatment challenges.
  • The lodged button was successfully extracted using a thoracotomy with esophagotomy.
  • Surgical intervention served as a necessary management approach for this rare foreign body case.

Why it matters

Foreign bodies lodged in the esophagus can remain undetected and cause prolonged difficulty with swallowing. Documenting surgical interventions like thoracotomy and esophagotomy helps clinicians understand when open surgery is required to safely remove objects that cannot be retrieved through less invasive means.

Commercialisation angle

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Abstract

Challenges in the management of dysphagia from a patient with a long-retained esophageal foreign body, unveiling the diagnostic and treatment challenges. Reported a rare case of an esophageal foreign body from a button presenting with long-standing dysphagia; the button was retrieved by thoracotomy with esophagotomy. This is the rare case of an esophageal foreign body managed by surgery.

Research topics

  • Foreign Body Medical Cases
  • Esophageal and GI Pathology
  • Hemostasis and retained surgical items

Read the original research

This page summarises published work. The authoritative version sits with the publisher.

DOI: 10.1002/ccr3.71378

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