case_images: PMC9886868_01
case_images: Chest CT showed a hyper-dense shadow of a fish bone shape in the upper Esophagus.
case_images: fsurg-10-1094160-g001.jpg
case_images: PMC9886868_01_fsurg-10-1094160-g001.jpg
case_images: F1
case_images: The foreign body was only 8 mm away from the aorta, with traces of exudation and gas from the esophagus due to the long retention time of the foreign body (Figure 1).
case_images: The fishbone was 22 cm away from the incisors with both pointed ends punctured into the esophagus wall.
case_images: fsurg-10-1094160-g002.jpg
case_images: PMC9886868_01_fsurg-10-1094160-g002.jpg
case_images: F2
case_images: However, it was rather difficult and risky, as the fishbone was 22 cm away from the incisors with both pointed ends punctured into the esophagus (Figure 2) and there were manifestations of perforation and infection.
case_images: The fishbone was broken by holmium laser endoscopically.
case_images: fsurg-10-1094160-g003.jpg
case_images: PMC9886868_01_fsurg-10-1094160-g003.jpg
case_images: F3
case_images: After a multidisciplinary discussion, holmium laser was used to break the fishbone into two segments, which were then removed by gastroscopy (Figures 3, 4).
case_images: The fishbone was removed after being broken by the holmium laser.
case_images: fsurg-10-1094160-g004.jpg
case_images: PMC9886868_01_fsurg-10-1094160-g004.jpg
case_images: F4
case_images: After a multidisciplinary discussion, holmium laser was used to break the fishbone into two segments, which were then removed by gastroscopy (Figures 3, 4).