This is a 34-month-old female without history of systemic illness. She had been admitted before for bronchopneumonia and endoscopic removal of accidentally swallowed coins. This time, she was admitted due to odynophagia and sorethroat for 1 day. There was no other systemic involvement. She was then taken to our department and physical examination showed a tender point in the midline of lower neck. Thus, chest radiography and neck lateral view were taken and showed a liner radiopacity in the prevertebral soft tissue (Figure 1). An esophageal foreign body was highly suspected. A fish hook was noted at upper esophagus. There was no pneumomediastinum or pneumothorax noted on the preoperative images. The foreign body was removed via rigid esophago-scopy under general anesthesia, ~10cm below the upper incisor. The post-operation course was uneventful.
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