Successful Removal of Indigested Shell Using a Rigid Esophagoscope and a Pneumatic Lithotriptor Heezoo Kim, MD, PhD, Hyun Koo Kim, MD, PhD, Gi-Run Kang,

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Successful Removal of Indigested Shell Using a Rigid Esophagoscope and a Pneumatic Lithotriptor Heezoo Kim, MD, PhD, Hyun Koo Kim, MD, PhD, Gi-Run Kang, MD, Du-Young Kang, MD, Young Ho Choi, MD, PhD, Sang-Ho Lim, MD, PhD The Annals of Thoracic Surgery Volume 88, Issue 3, Pages 1019-1021 (September 2009) DOI: 10.1016/j.athoracsur.2009.01.061 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Chest lateral roentgenogram showing a 2 × 2 sized, high-density foreign body in the proximal esophagus. The Annals of Thoracic Surgery 2009 88, 1019-1021DOI: (10.1016/j.athoracsur.2009.01.061) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 An esophagoscopic examination revealed that the foreign body was a shell that impacted and adhered to the esophageal wall. The Annals of Thoracic Surgery 2009 88, 1019-1021DOI: (10.1016/j.athoracsur.2009.01.061) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 A lithoclast 0.8-mm probe (Swiss LithoClast pneumatic lithotriptor [EMS Electro Medical Systems, Nyon, Switzerland]) The Annals of Thoracic Surgery 2009 88, 1019-1021DOI: (10.1016/j.athoracsur.2009.01.061) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A, B) The shell appeared to be that of a type of surf clam. The Annals of Thoracic Surgery 2009 88, 1019-1021DOI: (10.1016/j.athoracsur.2009.01.061) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions