RESCUE THERAPY FOR IMPACTED LARGE CHICKEN BONE IN THE ESOPHAGUS: ARGON PLASMA COAGULATION-ASSISTED ENDOSCOPIC REMOVAL - A CASE REPORT

Muhammet Yener AKPINAR, Hasan SAHIN, Tolga BAKIR, Mustafa GULSEN

Turkish Journal of Gastroenterology - 2026;37(3):397-399

Department of Gastroenterology, Ankara Gülhane Training and Research Hospital, Ankara

 

A 46-year-old female with no history of systemic or psychosocial issues presented with a complaint of foreign body sensation in her throat after drinking chicken soup. Neck computed tomography (CT) revealed a dense foreign body measuring 21 x 11 mm within the upper esophageal lumen, causing near-complete luminal obstruction. Following the complete obstruction and the rigid, potentially lacerating nature of the foreign body, attempts at removal using a snare, balloon, and standard forceps were unsuccessful. Subsequently, a second rescue technique was employed using an argon plasma coagulation (APC) probe. Two linear tunnels were created on the surface of the bone, facilitating better instrument engagement. These grooves enabled secure grasping with alligator-jaw forceps, and the foreign body was successfully extracted without complication.