Unusual Esophageal Foreign Body

Question: A 38-year-old man presented with complaints of mild dysphagia after the ingestion of a dinner fork about 1.5 hours ago, while attempting to induce vomiting. Physical examination was unremarkable, with no hypersialosis or subcutaneous emphysema. Blood sample analysis was normal. A plain chest radiograph revealed a radiopaque fork in the esophagus without evidence of pneumomediastinum (Figure A, B). Because the patient arrived during the night and was asymptomatic, the attempt to extract the foreign body endoscopically was organized on the following morning to so that a digestive surgeon could see the patient if perforation occurred during removal.

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