Embedded sharp metallic spring in esophagus.

Less than 1% of esophageal foreign bodies are irretrievable by endoscopic techniques. These cases require esophagotomy for removal. The impacted metallic spring with sharp ends (in opposite direction) is reported as esophageal foreign body which required esophagotomy after two failed endoscopic removals. The difficulties encountered during endoscopic maneuver, peculiar shape of foreign body and mode of impaction are discussed.