CASE PRESENTATION: A 46-year-old male with history of smoking, consumption of a bottle of liquor every weekend, and cocaine and marijuana addiction since 8 months ago, presented to our office with complaints of dysphagia. A chest X-ray was taken, in which a a radiopaque dense image in the middle third of esophagus was found. Next step an endoscopy was performed observing a metallic foreign body 20 centimeter below the upper dental arch embedded in the mucous of esophagus, it was impossible to remove it with this procedure. A CT-Scan was performed observing a dense metallic “T” image of 5.3×3.2 cm in front of T1, T2 and T3 vertebral body. The patient underwent surgery, cervical esophagus was located and pretracheal fascia was bluntly dissected till carina, a 2 cm myotomy was performed on thoracic portion of esophagus by pulling it to the cervical region; where foreing body was found and then a forester clip was introduced to extract the foreign body, esophagus was closed with gambee stitches and the muscular portion with monocryl 3/0 SH. Absence of leakage was checked haemostatic maneuvers were performed and Sengstaken-Blakemore 19Fr was placed. At the fifth day after the surgery a esophagogram was taken observing the small amount of lateral leakage, it was decided to start parentral nutrition. Five days later a follow up esophagogram was made, without evidence of leakage and the patient was discharged from hospital without any inflammatory response and with good oral tolerance.