# Unusual Foreign Body Ingestion: A Fish Bone or a Bottle Cap?

## TL;DR

A 55-year-old man swallowed a bottle cap after heavy drinking, requiring a multidisciplinary team to safely remove it from his esophagus.

## Contribution

This case emphasizes the need for early imaging and collaborative care in managing high-risk foreign body ingestion.

## Key findings

- A metallic bottle cap was successfully removed from the proximal esophagus under general anesthesia.
- Multidisciplinary intervention was necessary due to unsuccessful initial endoscopic retrieval.
- The patient recovered fully with supportive care and no complications.

## Abstract

Foreign body ingestion is uncommon in adults but can pose significant risks. We present the case of a 55-year-old male patient who developed acute odynophagia after heavy alcohol intake. Radiographs revealed a metallic bottle cap lodged in the proximal esophagus. The patient was emergently referred for endoscopy, but initial endoscopic retrieval attempts were unsuccessful, requiring combined gastroenterology and otolaryngology intervention under general anesthesia. The object was removed, with only superficial ulcerations noted. The patient recovered with supportive care and was discharged without complications. This case highlights the importance of a detailed history, early imaging, and multidisciplinary management in high-risk foreign body ingestion.