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Published on June 18, 2009, doi:10.1510/icvts.2009.209676

Interactive CardioVascular and Thoracic Surgery 2009;9:556.

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Esophagus

Thoracoscopic removal of a transesophageal ingested mediastinal foreign body

Oskar Ruckbeil 1*, Jens Burghardt 2, Klaus Gellert 1

1 Sana Klinikum Lichtenberg, Berlin, Germany
2 Evangelisch-Freikirchliches Krankenhaus Rudersdorf, Germany

* To whom correspondence should be addressed. E-mail: o.rueckbeil{at}web.de.


   Abstract
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 succesfully 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 videofile is attached. Keywords: Foreign body; Thoracoscopy; Esophageal perforation/transmigration





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