A Rare Bite: Oesophageal Obstruction by a Mango Seed in the Elderly

Abstract

Aims: To report a rare case of oesophageal obstruction in an elderly male due to ingestion of a mango seed. Presentation of Case: A 75-year-old male presented five days after swallowing a mango seed, with progressive dysphagia and regurgitation of food. Imaging revealed a mid-sized filling defect with proximal oesophageal dilatation. Endoscopic removal failed, necessitating surgical extraction via left thoracotomy. Discussion: While foreign body ingestion is more common in children and mentally challenged individuals, it can occur in elderly patients due to impaired sensation or swallowing difficulties. Large and irregular foreign bodies such as mango seeds are rare and may require surgical removal if endoscopy fails. Early diagnosis and timely management are crucial to prevent complications such as perforation and mediastinitis. Conclusion: Foreign body ingestion should be considered in elderly patients presenting with sudden dysphagia. Prompt imaging and appropriate intervention, including surgery, when necessary, can ensure good outcomes.