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Updated: Oct 4, 2025
07:22
Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
Published on: December 1, 2023
692
Nearly missed laryngeal foreign body
1Dignity Health - St. Rose Dominican Hospital Department of Pediatric Emergency Medicine Siena Campus Hospital Henderson Nevada USA.
Journal of the American College of Emergency Physicians Open
|February 3, 2022
Summary
A child ingested magnetic beads, with some missed on initial X-rays. This highlights the importance of thorough imaging for pediatric foreign body ingestion and aspiration.
Area of Science:
- Pediatric Emergency Medicine
- Radiology
- Otolaryngology
Background:
- Foreign body ingestion and aspiration are common pediatric emergencies.
- Diagnosis relies on history, physical exam, and radiography to minimize radiation exposure.
Observation:
- A 3-year-old presented with asymptomatic ingestion of magnetic beads.
- Initial chest and abdominal X-rays identified beads in the abdomen.
- Suspicion of laryngeal foreign bodies arose from closer inspection of initial X-rays.
Findings:
- A dedicated neck X-ray revealed two magnetic beads lodged bilaterally around the epiglottis.
- These laryngeal foreign bodies were nearly missed due to lack of upper airway obstruction symptoms.
- Initial radiography failed to detect the laryngeal beads.
Implications:
- This case underscores the need for comprehensive "nose to rectum" imaging in pediatric foreign body evaluation.
- Missed upper airway foreign bodies can have severe consequences.
- Radiologists and clinicians must maintain high suspicion for occult foreign bodies, even in asymptomatic children.
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