Removal of foreign bodies from the upper gastrointestinal tract, though a common occurrence, can be technically challenging and risky. We report the case of a young man that, after eating a pizza cooked in a wood-burning oven, reported a sense of foreign body. Though the first evaluation by fiberoptic laryngoscopy found no foreign body, after a few weeks, the patient was readmitted from the ER for worsening symptoms and fever. A CT scan showed a metallic mediastinal foreign body inside a large fluid collection. After multidisciplinary evaluation, an endoscopic removal was attempted by accessing the mediastinal collection through EUS-guided positioning of a Hot Axios™ stent. The cavity was drained by naso-esophageal suction. The foreign body was a fragment of the brush used to clean the oven. The patient is now doing well after 7 months.

Pagano, N., Dolci, G., Buttitta, F., De Matteis, M., Lauro, A., Solli, P. (2021). Another Use for EUS: Removal of a Transesophageal-Migrated Mediastinal Foreign Body. DIGESTIVE DISEASES AND SCIENCES, 66(4), 983-987 [10.1007/s10620-020-06769-3].

Another Use for EUS: Removal of a Transesophageal-Migrated Mediastinal Foreign Body

Pagano, Nico
Primo
Conceptualization
;
Dolci, Giampiero
Methodology
;
Buttitta, Francesco
Writing – Original Draft Preparation
;
2021

Abstract

Removal of foreign bodies from the upper gastrointestinal tract, though a common occurrence, can be technically challenging and risky. We report the case of a young man that, after eating a pizza cooked in a wood-burning oven, reported a sense of foreign body. Though the first evaluation by fiberoptic laryngoscopy found no foreign body, after a few weeks, the patient was readmitted from the ER for worsening symptoms and fever. A CT scan showed a metallic mediastinal foreign body inside a large fluid collection. After multidisciplinary evaluation, an endoscopic removal was attempted by accessing the mediastinal collection through EUS-guided positioning of a Hot Axios™ stent. The cavity was drained by naso-esophageal suction. The foreign body was a fragment of the brush used to clean the oven. The patient is now doing well after 7 months.
2021
Pagano, N., Dolci, G., Buttitta, F., De Matteis, M., Lauro, A., Solli, P. (2021). Another Use for EUS: Removal of a Transesophageal-Migrated Mediastinal Foreign Body. DIGESTIVE DISEASES AND SCIENCES, 66(4), 983-987 [10.1007/s10620-020-06769-3].
Pagano, Nico; Dolci, Giampiero; Buttitta, Francesco; De Matteis, Massimo; Lauro, Augusto; Solli, Piero.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/798951
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