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Area of Science:

  • Radiology
  • Pediatric Emergency Medicine

Background:

  • Foreign body ingestion is common in children.
  • Differentiating ingested coins from button batteries on plain radiographs can be challenging.

Purpose of the Study:

  • To describe a case of foreign body ingestion in a child.
  • To highlight the utility of high-voltage, contrast-enhanced radiography in diagnosing ingested coins.

Main Methods:

  • A four-year-old girl presented with vomiting after foreign body ingestion.
  • Anteroposterior plain radiography was performed.
  • A high-voltage radiograph, windowed for contrast, was utilized.

Main Results:

  • A disc-shaped foreign body was identified on initial radiography.
  • The specialized radiograph confirmed the foreign body was a quarter, showing the face of George Washington.
  • This diagnosis precluded the need for emergent removal typically associated with button batteries.

Conclusions:

  • High-voltage, contrast-enhanced radiography is a valuable tool for identifying ingested coins.
  • This technique can help differentiate coins from dangerous button batteries, guiding appropriate clinical management.