Diagnostic and therapeutic challenges of a “minimally invasive penetrating foreign body”: a case report

Category	Detail
Condition
Key Mechanisms	Penetration of the esophageal wall by a foreign object, leading to localized tissue response with potential for serious complications.
Target Population
Care Setting

Fish bones are the most frequently ingested foreign objects in adults.
Cervical CT is the preferred imaging modality due to its high sensitivity and specificity.
Endoscopy is successful in over 93% of cases for foreign body removal.
Delayed intervention can lead to serious complications such as perforation and mediastinal sepsis.
Timely intervention is crucial to prevent complications.
Meticulous endoscopic procedures can be more effective than surgical exploration.

Flexible or rigid esophagoscopy for objects beneath the pyriform sinus.
Surgical intervention for less than 1% of complicated cases, specifically for large or migrated foreign bodies.

Follow-up imaging to verify the location of the foreign body post-intervention and monitor for complications.

Potential for acute airway compromise and aspiration due to foreign body location.

Careful endoscopic manipulation is critical for successful removal of MIPFB, with close monitoring for complications post-removal.

Utilize cervical CT as the standard initial imaging technique for suspected foreign bodies.
Conduct endoscopy within 24 hours for sharp objects to minimize complications.
Consider indirect CT indicators for therapeutic evaluation.
Ensure follow-up imaging is performed after endoscopic procedures.