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Updated: May 1, 2026
04:55
Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
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An ingested foreign body: two sides of the same coin?
Kiran Varadharajan1, Jennifer Magill, Kalpesh Patel
1St. Mary's Hospital, London, UK.
BMJ Case Reports
|April 11, 2014
Summary
This case report highlights a rare instance of a child ingesting two coins, which appeared as one on X-ray. Thorough endoscopic examination is crucial for diagnosing ingested foreign bodies.
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
- Otolaryngology
Background:
- Foreign body ingestion is common in young children.
- Esophageal foreign bodies can cause significant morbidity.
- Radiological assessment is the initial step in diagnosis.
Observation:
- A 2-year-old presented with acute dysphagia and stertor.
- Initial X-ray showed a single coin in the esophagus.
- Rigid esophagoscopy revealed a second, identically located coin.
Findings:
- The ingested coins were impacted in perfect radiological alignment.
- A single coin was initially identified on plain radiography.
- Endoscopic examination identified a second foreign body.
Implications:
- This case underscores the limitations of plain radiography for ingested foreign bodies.
- Thorough endoscopic evaluation is essential to rule out multiple foreign bodies.
- Accurate diagnosis and removal are critical to prevent complications.
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