Evidence map›Paper›PMID 42633299›Full record

ArticleInternational medical case reports journal2026

Direct-Vision Removal of an Impacted Esophageal Padlock in a 7-year-Old at a Resource-Limited Facility: A Case Report.

Hervé Mbuyamba, Albert Kapongo, Pierre Tangila, Eugène Mukeba, Séraphin Binene, Alidor Mbangila, Godefroid Cibangu, Mike Kabamba, Trésor Kabuya Kabamba, Pascal Cimpaka and 11 more

Abstract readCase Reports
In one paragraph

Article in International medical case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Hervé MbuyambaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.ORCID 0000-0002-9181-9796
Albert KapongoDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Pierre TangilaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Eugène MukebaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Séraphin BineneDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Alidor MbangilaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Godefroid CibanguDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Mike KabambaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Trésor Kabuya KabambaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.ORCID 0009-0000-6827-8373
Pascal CimpakaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Dédé KabundaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Jérémie MbuyambaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Pascal Shambuyi KayembeDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Antipas MulumbaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Mukadi Kabeya AlainDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.ORCID 0009-0000-9486-4501
Joseph LuboyaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Jenny NshimbaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Edmond KandaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Franҫois KabumbaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Joseph Tshilunda NganduDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Séverin Akinja UwondaDepartment of Surgery, Université Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Oesophageal foreign-body impaction is a frequent emergency that is typically managed with endoscopy. In resource-limited and remote health facilities, strict adherence to standard algorithms is impractical. Context-adapted clinical reasoning is sometimes critical for ensuring safe and timely management. Case Presentation: We report a case of a 7-year-old male child who presented to a remote health facility with acute dysphagia and odynophagia following accidental ingestion of a padlock confirmed on neck radiography. In the absence of endoscopic services, the padlock was successfully removed under direct laryngoscopy with Magill forceps under general anesthesia. The patient recovered uneventfully and was discharged 24 hours after observation. Conclusion: This case highlights the importance of pragmatic clinical judgment and adaptive decision making in low-resource settings. When standard endoscopic services are unavailable, carefully selected alternative approaches can save life.

Indexed as

case reportesophageal impactionpadlockremote health facility

Identifiers

PMID42633299
PMCPMC13499565

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.