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An acquired oesophageal pouch in childhood: a problem of diagnosis
The Journal of Laryngology and Otology
|January 1, 1981
Insights
A child developed an acquired esophageal pouch due to a lodged coin causing esophageal dilation. This condition mimicked a pharyngeal pouch, highlighting diagnostic challenges in pediatric foreign body ingestion.
Area of Science:
- Pediatric Gastroenterology
- Otolaryngology
- Radiology
Background:
- Foreign body ingestion is a common pediatric emergency.
- Esophageal obstruction can lead to various complications.
- Accurate diagnosis is crucial for timely intervention.
Observation:
- A case of acquired esophageal pouch in a child is presented.
- A radiolucent coin lodged in the esophagus caused chronic obstruction.
- This led to significant dilation of the esophagus proximal to the obstruction.
Findings:
- The esophageal dilation mimicked a pharyngeal pouch on imaging.
- Radiolucent foreign bodies pose diagnostic challenges.
- Delayed diagnosis can result from atypical presentations.
Implications:
- Highlights the importance of considering esophageal foreign bodies in pediatric cases with apparent pharyngeal pouches.
- Emphasizes the need for thorough diagnostic evaluation, including imaging, to identify radiolucent objects.
- Underscores the potential for acquired esophageal structures secondary to prolonged obstruction.
Abstract:
A case report of a child with an acquired oesophageal pouch is presented. A chronically impacted radio-lucent coin in the oesophagus resulted in a dilatation of the oesophagus above the obstruction. This dilatation mimicked a pharyngeal pouch and the problems of diagnosis are discussed.