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Double coin in esophagus at same location and same alignment - a rare occurrence: a case report
Eti V Upadhyaya1, Punit Srivastava, Vijay D Upadhyaya
1Department of ENT, IMS, BHU, Varanasi - 221005, India. etiupadhyaya@yahoo.co.in
Cases Journal
|October 16, 2009
Summary
Multiple coin ingestion in children is rare. Post-removal radiography is crucial to detect unexpected second foreign bodies, such as duplex or tracheal coins, in pediatric esophageal coin ingestions.
Area of Science:
- Pediatric Gastroenterology
- Pediatric Surgery
- Radiology
Background:
- Coin ingestion is the most common foreign body swallowed by children.
- Multiple coin ingestion is exceptionally rare, with few documented cases.
Observation:
- A 4-year-old girl presented with a history of coin ingestion.
- Radiological studies revealed suspected dual coins in the esophagus with similar alignment.
- No respiratory distress was noted.
Findings:
- Esophagoscopy confirmed the presence of two coins in the esophagus.
- Both coins were successfully removed.
- The dual coin presentation was unexpected.
Implications:
- This case highlights the rarity and diagnostic challenges of multiple coin ingestions in pediatric patients.
- Mandatory post-operative radiography is essential to rule out additional foreign bodies (e.g., tracheal coins).
- Accurate diagnosis and management are critical, especially when patient history is incomplete.
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