A novel percutaneous approach to retrieve an ingested extra-esophageal foreign body

  • David Volders
  • Manraj K. S. HeranEmail author
Case Report


We report a case of an 8-year-old boy who presented to our emergency department with progressive onset of dysphagia and odynophagia after eating barbecued steak that evening. Radiographs revealed a metal bristle from a barbecue brush at the level of the proximal esophagus. The otolaryngologist attempted to retrieve this bristle using flexible esophagoscopy, but unfortunately it pushed the bristle extra-esophageal. In order to avoid major open surgery with associated morbidity, a novel percutaneous image-guided minimally invasive percutaneous approach was used to successfully retrieve the bristle.


Child Computed tomography Esophagus Extra-esophageal Foreign body Interventional radiology Ultrasound 


Compliance with ethical standards

Conflicts of interest



  1. 1.
    Denney W, Ahmad N, Dillard B, Nowicki MJ (2012) Children will eat the strangest things: a 10-year retrospective analysis of foreign body and caustic ingestions from a single academic center. Pediatr Emerg Care 28:731–734CrossRefGoogle Scholar
  2. 2.
    National Center for Injury Prevention and Control (2010) WISQARS leading causes of death reports, 1999–2001. Accessed 11 Sept 2018
  3. 3.
    Wyllie R (2006) Foreign bodies in the gastrointestinal tract. Curr Opin Pediatr 18:563–564CrossRefGoogle Scholar
  4. 4.
    Gilger MA, Jain MA, McOmber ME (2013) Foreign bodies of the esophagus and gastrointestinal tract in children. In: Basow DS (ed) UpToDate. Waltham, Mass: UpToDateGoogle Scholar
  5. 5.
    Acord M, Shellikeri S, Vatsky S et al (2017) Reduced-dose C-arm computed tomography applications at a pediatric institution. Pediatr Radiol 47:1817–1824CrossRefGoogle Scholar
  6. 6.
    Sreetharan SS, Prepageran N, Singh S (2005) Migratory foreign body in the neck. Asian J Surg 28:136–138CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of RadiologyUniversity of British ColumbiaVancouverCanada
  2. 2.Division of Neuroradiology, Vancouver General HospitalUniversity of British ColumbiaVancouverCanada
  3. 3.Department of Radiology, British Columbia’s Children’s HospitalUniversity of British ColumbiaVancouverCanada

Personalised recommendations