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Kim H et al. – The authors report a case of an esophageal foreign body caused by the accidental ingestion of a shell in an 8–month–old girl. Endoscopic removal was attempted but failed because of the sharp margin of the shell and caused it to be deeply impacted into the esophageal wall. Accordingly, a pneumatic lithotriptor was inserted through a rigid esophagoscope and used to fragment the shell.

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