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Oesophageal perforation caused by a coin
Journal of Paediatrics and Child Health
|June 1, 1993
Summary
Coin ingestion can lead to serious esophageal complications, even when initially asymptomatic. Persistent subtle symptoms warrant thorough investigation, including surgical intervention for esophageal erosion.
Area of Science:
- Pediatric Gastroenterology
- Surgical Gastroenterology
- Foreign Body Ingestion
Background:
- Coin ingestion is a common pediatric emergency.
- Most ingested coins pass without complications.
- Oesophageal coin impaction can lead to delayed or serious sequelae.
Observation:
- A case of a coin ingestion initially presenting without symptoms.
- Development of subtle but persistent symptoms over time.
- Radiographic evidence of esophageal wall erosion by the coin.
Findings:
- Coins, often considered benign foreign bodies, can cause significant esophageal damage.
- Esophageal erosion is a rare but critical complication of coin ingestion.
- Surgical management is required for coins eroding through the esophageal wall.
Implications:
- Paediatricians must maintain a high index of suspicion for complications of coin ingestion.
- Subtle, persistent symptoms in children warrant comprehensive diagnostic workup.
- Prompt surgical intervention is crucial for managing esophageal coin erosion to prevent further morbidity.