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Thoracoscopic removal of a transesophageal ingested mediastinal foreign body

^a Department of Surgery, Sana Klinikum Lichtenberg, Fanningerstrasse 32, 10365 Berlin, Germany
^b Department of Surgery, Evangelisch-Freikirchliches Krankenhaus Rüdersdorf, Seebad 82/83, 15562 Rüdersdorf, Germany

*Corresponding author. Spanheimstrasse 1, 13357 Berlin, Germany. Tel.: +49-30-7863809; fax: +49-30-5518-2312.

E-mail address: o.rueckbeil{at}web.de O. Rückbeil).

Transesophageal migration of a foreign body into the mediastinum in human adults is rare. This event can result in life-threatening situations and is associated with a high mortality rate. Only a few case reports of thoracoscopic removal of a foreign body in adults have been published so far. The authors describe the case of a successfully performed thoracoscopic approach to remove an ingested needle from the mediastinum posterior of a 69-year-old patient. The authors are discussing why, in similar cases, removal of the foreign body should be performed and they describe the preliminary conditions for this method. A video file is attached.

Key Words: Foreign body; Thoracoscopy; Esophageal perforation/transmigration