Cervical Esophagotomy for Removal of an Ingested Clam Shell A Very Uncommon Foreign Body Ingestion

Objective: To report the removal of an ingested clam shell that was firmly impacted in the oesophagus. Clinical Presentation and Intervention: A 77-year-old man presented with acute dysphagia after eating a seafood "risotto" at our hospital. Anurgent dedicated studies (non-contrast 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 life-saving cervical esophagotomy was performed and theforeign body was retrieved. Conclusion: This patient who ingested clam shell recovered well following the retrieval by performing a life-saving cervical esophagotomy.


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