Introduction: Esophageal foreign bodies are important and serious cause of\nmorbidity and mortality in both children and adults, usually as a result of serious\ncomplications, such as perforation, necrosis, mediastinitis, and fistulation.\nTherefore, rapid and accurate diagnosis with subsequent removal is very important.\nClinical Case: We present and discuss the presentation, diagnosis\nand surgical management of a 6-year-old with a 2-year history of ingested\ncoin locked in the oesophagus. Discussion: Diagnosis was established by upper\ngastrointestinal endoscopy, barium swallow and chest x-ray. The coin was\nremoved by open surgery via oesophagotomy through right thoracotomy after\nfailed retrieval via rigid oesophagoscopy. Conclusion: Surgical treatment\nin the form of esophagotomy via thoracotomy may be necessary in some cases\nof impacted foreign bodies in the esophagus where endoscopic removal is\nunsuccessful.
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