Tropical Medicine & Surgery

Abstract

Rescue Surgical Management of an Esophageal Perforation Due to the Open Safety Pin

Narendra Pandit, Roshan Gurung, Laligen Awale, Lokesh Shekher Jaiswal and Shailesh Adhikary

Esophageal perforation due to a foreign body in an adult is relatively rare, and carries a high morbidity and mortality. It usually occurs with sharp foreign bodies like bone pieces, toothpick, dentures and rarely an open safety pin. Here we report an interesting case of a 19-year-old female, who presented at three weeks following ingestion of an open safety pin, with a recent onset esophageal perforation to the left pleural cavity. The rigid upper endoscopy failed to remove the foreign body and was managed successfully by surgery as a rescue treatment.