Rigid esophagoscopy combined with angle endoscopy for treatment of superior mediastinal foreign bodies penetrating into the esophagus caused by neck trauma: A case report

Figure 1 Wound healing with a scar formation on the anterior neck.

Figure 2 Locations of the embedded foreign bodies. A: Chest coronal computed tomography image showing two paratactic foreign bodies penetrating from the superior mediastinal to the esophagus diagonally; B: Chest axial computed tomography image showing the upper ends of the foreign bodies outside the esophagus, adjacent to the left subclavian artery (4.1 mm).

Figure 3 Rigid esophagoscope combined with an angle endoscope (ureteroscope).

Figure 4 Endoscopic view of a black-brown foreign body penetrating the lateral wall of the esophagus, surrounding an edematous esophageal mucosa (Arrow: penetrated site).

Figure 5 Complete removal of two foreign bodies.

Figure 6 Upper gastrointestinal imaging on postoperative day 14. A: Upper gastrointestinal enterography image showing no contrast agent leakage; B: Flexible endoscopy image showing a superficial esophageal ulcer without evident perforation 22–23 cm from the incisor.

Figure 7 Chest coronal computed tomography image showing no residual foreign body or infection in the mediastinum after oral contrast.