Foreign body ingestion in adults is not as common as in children. Sharp foreign body ingestion is even rarer; however, it may result in perforation, inflammation, or fistula formation at various gastrointestinal levels. In our case, the patient was unaware of the foreign body ingestion and presented with retrosternal chest pain, odynophagia, and occasional choking. Endoscopy and computed tomography thorax scan revealed a piece of chicken bone penetrating the aorta through the esophageal wall. No signs of mediastinitis were found. The foreign body was retrieved endoscopically with simultaneous endovascular stent repair of the aorta. Postoperative recovery was uneventful. There is an associated high morbidity and mortality in such cases, mandating long-term follow-up.
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