Preschooler status post esophageal atresia repair who now acutely cannot handle secretions and is having a sensation of choking

Upper GI of gastrointestinal foreign body impacted in the esophagus of a patient post repair of esophageal atresia
AP (above left) and lateral (above right) images from an esophagram show a large, irregular filling defect in the proximal esophagus that is both above and below the waist in the esophagus that is the site of the esophageal anastomosis. The patient underwent endoscopy and the surgical image (below) shows a ball of paper that was removed from the patient’s esophagus.

The diagnosis was gastrointestinal foreign body impacted in the esophagus of a patient post repair of esophageal atresia.