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Unsuspected esophageal foreign bodies

A Humphry, W G Holland

    Journal of the Canadian Association of Radiologists
    |March 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Unsuspected esophageal foreign bodies in children often cause wheezing and swallowing difficulties, mimicking respiratory infections. Early radiography is crucial for diagnosis and preventing prolonged illness.

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    Area of Science:

    • Pediatric Medicine
    • Gastroenterology
    • Otolaryngology

    Background:

    • Esophageal foreign bodies in children can present with subtle symptoms.
    • Symptoms like wheezing and dysphagia are often misdiagnosed as respiratory infections.

    Purpose of the Study:

    • To highlight the clinical presentation and diagnostic challenges of unsuspected esophageal foreign bodies in pediatric patients.
    • To emphasize the importance of considering foreign bodies in the differential diagnosis of pediatric respiratory and swallowing symptoms.

    Main Methods:

    • Retrospective review of ten pediatric cases with unsuspected esophageal foreign bodies.
    • Analysis of presenting symptoms, including wheezing and dysphagia.
    • Review of diagnostic imaging modalities used, such as radiography and barium studies.

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    Main Results:

    • All ten children presented with wheezing or difficulty swallowing solid food.
    • In four cases, symptoms were initially attributed to respiratory infections.
    • All foreign bodies were located in the upper esophagus.

    Conclusions:

    • Unsuspected esophageal foreign bodies can lead to significant and prolonged morbidity in children.
    • Radiography of the neck and chest, sometimes with barium studies, is effective in identifying these foreign bodies.
    • Clinicians should maintain a high index of suspicion for esophageal foreign bodies in children with unexplained respiratory or swallowing issues.