Management of a Large Bone Impaction in the Esophagus With Cola and Catheters: A Case Report and Literature Review

Foreign body ingestion (FBI) is a common emergency room presentation, especially among younger patients and those with certain medical conditions. Food impaction, particularly in the esophagus, can lead to significant morbidity and requires timely intervention. While cola is commonly used for fruit bezoars, its application in treating meat and bone bezoars is rare. This case report details the management of a large bone impaction in the esophagus of a 64-year-old male using Cola and endoscopic techniques. A 64-year-old male presented to the emergency department with severe chest pain and a sensation of food impaction after consuming a meal. Initial evaluations, including a chest X-ray and electrocardiogram, showed no abnormalities. The patient was referred to a gastrointestinal (GI) clinic, where an endoscopy revealed a large piece of lamb bone impacted in the esophagus. Conventional endoscopic methods to remove or reduce the size of the impaction were unsuccessful. Cola was then injected through the soft portion of the food impaction, effectively reducing its size and allowing it to pass into the gastric cavity with gentle manipulation. The patient was monitored post-procedure and discharged after a follow-up computed tomography (CT) scan, which confirmed no esophageal perforation.