Objective: To report the removal of an ingested clam shell that was firmly impacted in the esophagus.
Clinical presentation and intervention: A 77-year-old man presented at our hospital with acute dysphagia after eating a seafood risotto. An urgent dedicated examination (noncontrast helical multislice computed tomography scan of the neck and flexible esophagoscopy) detected a clam shell lodged in the upper esophagus. After several unsuccessful endoscopic attempts, a lifesaving cervical esophagotomy was performed and the foreign body was retrieved.
Conclusion: This patient who ingested clam shell recovered well following the retrieval of the foreign body by performing a lifesaving cervical esophagotomy.
Keywords: Clam shell; Esophagotomy; Foreign body ingestion.
© 2017 S. Karger AG, Basel.