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An oesophageal spring

Elisabetta Calamelli1, Tomasso Gargano2, Sandra Brusa1

  • 11 Pediatric and Neonatology Unit, Imola Hospital, Imola (BO), Italy.

The Journal of International Medical Research
|May 23, 2018
PubMed

Insights

Oesophageal foreign bodies (OFBs) are a common emergency in children, often missed due to delayed diagnosis. Prompt recognition and treatment are crucial to prevent severe complications from these hidden obstructions.

Area of Science:

  • Pediatric Emergency Medicine
  • Gastroenterology
  • Otolaryngology

Background:

  • Oesophageal foreign bodies (OFBs) represent a frequent pediatric emergency.
  • Delayed diagnosis of OFBs, often due to unwitnessed ingestion, leads to significant morbidity and mortality.

Observation:

  • An 11-month-old infant presented with symptoms mimicking a respiratory infection.
  • The infant developed worsening cough, dysphagia, vomiting, and drooling, indicative of an occult OFB.

Findings:

  • A metallic spring was identified as the oesophageal foreign body.
  • The case illustrates a complex clinical course due to the initially occult nature of the OFB.

Implications:

  • Highlights the critical need for prompt recognition of occult OFBs in infants.
  • Emphasizes that rapid diagnosis and intervention are vital to prevent irreversible complications.

Keywords:
Coughdysphagiainfantoesophageal foreign bodyoesophagoscopyrespiratory symptoms

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