ArticleFrontiers in surgery2026
Diagnostic and therapeutic challenges of a "minimally invasive penetrating foreign body": a case report.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Missed diagnosis and treatment of esophageal foreign bodies (FBs) carry a risk of severe, life-threatening complications. This case report details the diagnostic and therapeutic management of a 58-year-old woman with a minimally invasive penetrating FB (MIPFB) following fish bone ingestion, who presented with odynophagia. Initial clinical evaluation and electronic nasopharyngolaryngoscopy were unremarkable. A cervical computed tomography scan on day 6 post-ingestion revealed a penetrating FB at the C6 vertebral level. Initial flexible esophagoscopy and a subsequent surgical exploration failed to localize the object. The FB, an approximately 2.5-cm-long fish bone embedded in the right posterior wall of the esophageal inlet, was ultimately and successfully retrieved via a repeated, meticulous endoscopic procedure employing targeted mucosal manipulation. This case highlights that MIPFB cases are prone to diagnostic delay and emphasizes that repeated, careful endoscopy is a superior and less invasive therapeutic strategy compared to surgical exploration in such complex scenarios.
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