Successful endoscopic extraction of a proximal esophageal foreign body following accurate localization using endoscopic ultrasound: A case report

作     者：Xiao-Ming Wang Shan Yu Xin Chen 

作者机构：Department of GastroenterologyPanzhihua Central Hospital 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2019年第7卷第10期

页      面：1230-1233页

核心收录：

学科分类：10[医学] 

主　　题：Fish bone Endoscopic mucosal dissection Upper esophageal wall Case report 

摘      要：BACKGROUND It is rare to find fish bones completely embedded in the wall of the esophagus with endoscopic findings similar to those of submucosal *** of the patients had the foreign body removed by thoracotomy or thoracoscopy in the past,which resulted in great *** SUMMARY We report a 58-year-old woman who experienced dysphagia for 6 d after eating *** computed tomography(CT)and endoscopic ultrasonography(EUS)indicated a fish bone completely embedded in the wall of the esophagus with endoscopic findings similar to those of submucosal *** results of CT reconstruction and EUS suggested that the fish bone was parallel to the longitudinal axis of the *** performed a longitudinal mucosal incision from the highest point of the uplift by using an Olympus dual knife to find the fish ***,no fish bone was found,so we extended the incision and endoscopic submucosal dissection(ESD)technique was used to detect and remove the fish bone *** The extraction of fish bone via ESD immediately after the injection of methylene blue into the submucous membrane under EUS guidance to obtain accurate localization of the foreign body may be the best treatment for such patients.