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Ann Thorac Surg 2009;88:1019-1021. doi:10.1016/j.athoracsur.2009.01.061
© 2009 The Society of Thoracic Surgeons

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Hyun Koo Kim
Young Ho Choi
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Case Reports

Successful Removal of Indigested Shell Using a Rigid Esophagoscope and a Pneumatic Lithotriptor

Heezoo Kim, MD, PhDa, Hyun Koo Kim, MD, PhDb,*, Gi-Run Kang, MDa, Du-Young Kang, MDb, Young Ho Choi, MD, PhDb, Sang-Ho Lim, MD, PhDa

a Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, College of Medicine, Korea University, Seoul, Korea
b Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, College of Medicine, Korea University, Seoul, Korea

Accepted for publication January 21, 2009.

* Address correspondence to Dr Kim, Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, 97 Guro-dongkil, Guro-ku, Seoul, 152-703, Korea (Email: kimhyunkoo{at}korea.ac.kr).

Foreign body ingestion is a commonly encountered clinical problem in pediatric emergency cases. The authors report a case of an esophageal foreign body caused by the accidental ingestion of a shell in an 8-month-old girl. Endoscopic removal was attempted but failed because of the sharp margin of the shell and caused it to be deeply impacted into the esophageal wall. Accordingly, a pneumatic lithotriptor was inserted through a rigid esophagoscope and used to fragment the shell.







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