Large foreign bodies (FB) get impacted in cervical oesophagus and are sometimes difficult to remove and the success rate of endoscopic removal of all FBs’ is 80%. Standard technique of removal of a large FB is pushing it to stomach or by cervical oesophageal myotomy. Serdar Han et al. have described a technique to remove by pushing it to hypopharynx, through gastrostomy, retrogradely and removing from hypopharynx. Changxiong wang and Ping chen have reported a novel method of removal of large impacted foreign bodies of oesophagus (upto 12 cms size) by dual channel endoscope. However here is a case report of a large FB – a stone piece (4-5 cm in diameter) removed by rigid endoscopy uneventfully. This case is reported for rarity of such cases in English literature and to highlight the importance of a good X-ray.
