Emergency casebook
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We report two cases of unsuspected oesophageal foreign body ingestion with chest pain as the main symptom. Case 1: A 41-year-old man had chest pain of 2–3 hours’ duration. The patient gave a history of chronic alcohol ingestion. To rule out cardiac ischemia for further evaluation the patient had an oesophagogastroduodenoscopy (OGD), which revealed a 4.5 x 1.5 cm CD Rom piece was in the middle of oesophagus. Case 2: A 57-year-old woman had chest pain and disphagia for 1 week, that begun simultaneously after taking gynaegological drugs. To rule out cardiac ischemia, we performed an OGD, which revealed a pill blister was in the distal part of oesophagus. Oesophageal foreign bodies are common in children and specific groups of adults, such as prisoners, those with learning disabilities, psychiatric illnesses or those dependent on alcohol. It can result in serious complications depending on the shape and size of the object.
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