A young veterinary doctor presented with dysphagia and drooling after ingesting an olive. During an endoscopy under general anesthesia, a large olive was found and removed 28 cm from his teeth. He reported a similar prior incident that was treated with an NG tube. The doctor recommended further testing with a contrast esophagram and CT scan to check for an underlying esophageal narrowing, as recurrent foreign body ingestion could indicate such an issue.

1. ‫الرحيم‬ ‫الرحمن‬ ‫هللا‬ ‫بسم‬
Olive Ingestion
Prof. Abdulsalam Y Taha
College of Medicine
University of Sulaimani
2022

2. The Case
 A young adult male patient (Veterinary
Doctor) presented with dysphagia and
drooling of saliva few hours after ingestion of
a foreign body. CXR was normal. Rigid
esophagoscopy under GA was performed. A big
olive was seen 28 cm from incisor teeth and
was extracted by forceps. The patient gave a
history of similar problem 6 months ago which
was pushed by an NG tube as he claimed. A
contrast study of esophagus was therefore
requested.

4. Comment
Recurrent foreign body ingestion
could occur by chance. However, it
is logic and advisable to exclude an
underlying esophageal narrowing by
contrast esophagography and CT
scan of the chest.