Unexpected second foreign bodies in pediatric esophageal coin ingestions.
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.
Pediatric emergency care
Catheterization; Child; Child, Preschool; Emergency Service, Hospital; Esophagoscopy; Esophagus; Foreign Bodies; Humans; Infant; Mucous Membrane; Numismatics; Retrospective Studies; Wounds, Penetrating
Smith, S. A., Conners, G. P. Unexpected second foreign bodies in pediatric esophageal coin ingestions. Pediatric emergency care 14, 261-262 (1998).