Esophageal Foreign Body: A Case Report of a Refractory Croup in a 20-Month-Old Boy

Document Type: Case Report


Otorhinolaryngology Research Centre, Gilan University of Medical Sciences, Amir-almomenin Hospital, Rasht, Iran.


Foreign body ingestion is common among children and more common in boys and in children under the age of 3. It can present with a wide variety of symptoms like dysphagia and drooling or symptoms related to the upper aerodigestive tract.
Case Report:
A 20-month-old male presented with refractory croup and poor feeding since 2 weeks. Bronchoscopy and esophagoscopy was performed due to suspicious history of eating loquat. The core of the fruit was found in the esophagus.
Physicians should be aware of the variability of esophageal foreign body presentations to prevent serious complications due to delay in diagnosis.


Main Subjects

1. Lao VV, Lusting D, Boseley M,  Lao OB. pediatric ingested foreign body, acquired tracheoesophageal

fistula-endoscopic repaire with cautery & fibrin glue (Tisseel): case report and literature review. journal of pediatric surgery case reports 2015; 3(10):426-31.

2. Paul W, Flint k, Robbins T, Bruce H, Haughey  J, Regan T, et al. Lesperance,Cummings Otolaryngo- logy Head and neck surgery‚ 6th ed‚ chapter 207.

3. Urkin J, Bar-David Y. Respiratory Distress Secondary to Esophageal Foreign Body. TheScientific World Journal2005; 6, 16–19.

4.  Chinski A, Foltran F, Dario Gregori, Simonetta Ballali, Desiderio Passali, Luisa Bellussi. Foreign Bodies in the esophagus: The Experience of the Buenos Aires Paediatric ORL Clinic. International Journal of Pediatrics ;2010,p1, Article ID 490691, 6 pages.

5.  Mileder P, Kloos I, Zach M. Inspiratory stridor as the only symptom of esophageal foreign body. Monatsschr Kinderheilkd 1991; 139(8):476-8.

6. Kim N, Atkinson N, Manicone P. Esophageal foreign body: a case of a neonate with stridor. Pediatr Emerg Care. 2008; 24(12): 849-51.