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

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.