Double coin ingestion in a child: a rare occurrence

Authors

  • Sonali Malhotra Department of ENT, Lady Hardinge Medical College, New Delhi, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20233593

Keywords:

Child, Foreign body coin, Oesophagoscopy

Abstract

Foreign bodies in the esophagus pose a common ENT emergency, often involving a single coin that typically passes without harm. However, the occurrence of paired coin foreign bodies is exceptionally rare. A notable case involves a 3-year-old child who presented to the ENT emergency department with sudden dysphagia and vomiting. A plain X-ray of the soft tissue in the neck and chest revealed a unique finding-a double circular opacity in the cervical esophagus, indicating the ingestion of two foreign bodies in perfect radiological alignment. Given the rarity of such cases, coupled with the challenges in diagnosis when a comprehensive history is unavailable, this instance stands out. The child underwent a rigid esophagoscopy under general anesthesia to address the situation. This case underscores the importance of considering uncommon scenarios in clinical practice and the necessity for thorough diagnostic approaches, especially in the absence of a detailed patient history. The presentation of dual foreign bodies in precise radiological alignment adds a layer of complexity to the diagnosis, highlighting the need for a nuanced and vigilant approach in managing such infrequent but potentially serious cases in the ENT emergency setting.

References

Dereci S, Koca T, Serdaroğlu F, Akçam M. Foreign body ingestion in children. Turk Pediatri Ars. 2015;50(4):234-40.

Conners GP. Management of asymptomatic coin ingestion. Pediatrics. 2005;116(3):752-3.

Upadhyaya EV, Srivastava P, Upadhyaya VD. Double coin in esophagus at same location and same alignment-a rare occurrence: a case report. Cases J. 2009;2(1):7758.

Kramer RE, Lerner DG, Lin T, Michael M, Manoj S, Thomas CS et al. Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr. 2015;60(4):562-74.

Amin MR, Buchinsky FJ, Gaughan JP, Szeremeta W. Predicting outcome in pediatric coin ingestion. Int J Pediatr Otorhinolaryngol. 2001;59(3):201-6.

McGahren ED. Esophageal foreign bodies. Pediatrics Rev. 1999; 20(4):129-33.

Mahafza TM. Extracting coins from the upper end of the esophagus using a Magill forceps technique. Int J Pediatr Otorhinolaryngol. 2002;62(1):37-9.

Thomson M, Tringali A, Dumonceau JM, Marta T, Merit MT, Raoul F et al. Paediatric Gastrointestinal Endoscopy: European Society for Paediatric Gastroenterology Hepatology and Nutrition and European Society of Gastrointestinal Endoscopy Guidelines. J Pediatr Gastroenterol Nutr. 2017;64(1):133-53.

Downloads

Published

2023-11-27

Issue

Section

Case Reports