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Unexpected second foreign bodies in pediatric esophageal coin ingestions
1Department of Emergency Medicine, University of Rochester Medical Center, New York 14642-8655, USA.
Objective:
To determine the frequency of unexpected second foreign bodies in children who present to the pediatric emergency department with esophageal coin impaction.
Design/Methods:
A retrospective chart review pediatric patients with esophageal coin impaction who underwent esophagoscopy/laryngoscopy for coin removal in a 16-year period at a tertiary referral center. Data analysis consists of descriptive statistics.
Results:
Eighty three of 85 (95%) eligible charts were reviewed. Three children (3.6%) had unsuspected second foreign bodies: an adherent penny, a second penny low in the esophagus, and pieces of paper and lint. No significant esophageal injury occurred.
Conclusions:
Unexpected second foreign bodies in pediatric esophageal coin ingestions with adequate radiographic studies are rare and generally do not cause significant esophageal injury.
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