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Esophageal ingested body in a child with calcified ligamentum arteriosum: a case report

Chiara Costantini1, Giuseppe Minniti2, Silvia Bertolo3

  • 1Pediatric Surgery Unit, Cà Foncello Hospital, Treviso, Italy.

Journal of Radiology Case Reports
|September 22, 2022
PubMed

Insights

Calcified ligamentum arteriosum can mimic foreign bodies in pediatric patients. Advanced CT scans are crucial for accurate diagnosis, preventing unnecessary surgical interventions.

Area of Science:

  • Cardiology
  • Pediatric Surgery
  • Radiology

Background:

  • Calcification of the ligamentum arteriosum is a post-closure phenomenon of the ductus arteriosus.
  • Foreign body ingestion is a frequent pediatric emergency, often presenting with vague symptoms.

Observation:

  • A child presented with blood in saliva, initially suspected to be due to foreign body ingestion.
  • CT imaging revealed a hyperdense object in the aorto-pulmonary window, suggestive of a metallic foreign body.

Findings:

  • Surgical exploration identified calcification of the ligamentum arteriosum, with no foreign body present.
  • Multi-section CT scans offer superior visualization of this condition compared to X-rays.

Implications:

  • This case highlights the importance of considering ligamentum arteriosum calcification in the differential diagnosis of suspected foreign bodies in children.
  • Accurate radiological assessment is vital to avoid misdiagnosis and unnecessary surgical procedures.

Keywords:
Foreign bodyaortopulmonary windowcalcified ligamentum arteriosumductus arteriosusligamentum arteriosum

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