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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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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
PubMed

Insights

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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