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Related Experiment Videos

Pediatric coin ingestion: an unusual presentation.

A F Brayer1, M Sciera, G P Conners

  • 1Department of Emergency Medicine, University of Rochester Medical Center, Box 492, 601 Elmwood Avenue, NY, Rochester, USA. anne_brayer@urmc.rochester.edu

International Journal of Pediatric Otorhinolaryngology
|October 18, 2000
PubMed
Summary
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A child swallowed a coin, but initial exams missed it. A careful physical exam later found the coin lodged in the palate, highlighting the need for thorough examination in pediatric emergencies.

Area of Science:

  • Pediatric Emergency Medicine
  • Foreign Body Ingestion
  • Diagnostic Challenges

Background:

  • Coin ingestion is common in young children.
  • Initial diagnostic workup often includes physical and radiographic examinations.
  • Delayed diagnosis can occur due to atypical presentations.

Observation:

  • A 35-month-old child presented with suspected coin ingestion.
  • Initial physical and radiographic exams were negative for foreign body.
  • The child refused oral intake, prompting further examination.

Findings:

  • A coin was discovered lodged on the hard palate, behind the upper incisors.
  • Visualization required full neck extension, indicating an unusual lodging location.
  • This case highlights limitations of standard imaging and the importance of clinical suspicion.

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Implications:

  • Emphasizes the critical role of meticulous physical examination in pediatric cases.
  • Underscores the need for reevaluation when clinical findings contradict initial assessments.
  • Suggests considering less common locations for foreign bodies even with negative initial imaging.