O Wenker, L Moehn, S Lahoti
O Wenker, L Moehn, S Lahoti. Interesting Cases In Gastroenterology. The Internet Journal of Gastroenterology. 1999 Volume 1 Number 1.
An 80-year-old patient presents in the emergency room with sore throat and difficulties to swallow. He had a history of esophageal cancer treated with surgery and radiation therapy. He spent the afternoon with friends at a open-air party “Cajun-style”. He is known to have an esophageal stricture for which he underwent several dilatation procedures in the past.
At examination we found a patient with difficulties to swallow his saliva. He did not show any signs of cardiopulmonary distress or hemodynamic instability. It was decided to perform an esophagoscopy with the flexible endoscope under monitored anesthesia care MAC. Please check http://www.ispub.com/journals/IJH/Vol1N1/mac.html for more detailed information on MAC.
A crawfish was stuck in the esophagus. The patient was known to have an esophageal stricture and had to chew the food real well before swallowing it. He was invited to a Cajun crawfish party and forgot to wear his dentures. He swallowed the crawfish and it got stuck and had to be removed under MAC the same night.
The patient was advised to use his dentures in the future.