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ARTICLE |

PERFORATION OF THE ESOPHAGUS BY A THUMB TACK AND SUBSEQUENT REMOVAL BY AN ELECTROMAGNET

ROBERT P. REA
Arch Otolaryngol. 1949;50(2):220-223. doi:10.1001/archotol.1949.00700010229007.
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ABSTRACT

The following case report is considered of interest because mediastinitis following perforation of the esophagus by a foreign body was treated successfully and because the foreign body was removed by means of an electromagnet.

REPORT OF CASE  The patient, a 10 year old boy, was admitted to the hospital at 6 p. m., April 18, 1947. At 2:45 p. m. that day he had swallowed a thumb tack. His only complaint was that of a sensation of something sticking in his throat. Physical examination was noncontributory.Lateral and anteroposterior roentgenograms of the neck (fig. 1A) revealed the outline of a thumb tack lodged in the anterior wall of the esophagus at the level of the sixth cervical vertebra. The shaft of the tack was directed anteriorly and slightly to the right of the midline.Soon after admission, with the patient under ether anesthesia, the esophagus was explored with an

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