Esophageal coin with an unusual radiographic appearance.

Document Type

Article

Publication Date

10-1-2005

Identifier

DOI: 10.1097/01.pec.0000181421.94847.60

Abstract

Esophageal coins are typically seen as radiopaque disks on anteroposterior chest radiographs. This radiographic finding is generally considered classic for identifying "swallowed" coins as being in the esophagus. We report the case of an 11-year-old girl with an esophageal coin seen end-on on an anteroposterior chest radiograph and as a disk consistent with a coin in the lateral view. These findings are typically associated with coin aspiration. Clinicians should be wary of making the diagnosis of foreign body aspiration of coins by relying on single-view radiographic findings alone. When clinically reasonable, we suggest additional imaging to help further localize swallowed coins.

Journal Title

Pediatric emergency care

Volume

21

Issue

10

First Page

667

Last Page

669

MeSH Keywords

Child; Esophagus; Female; Foreign Bodies; Humans; Numismatics; Radiography

Keywords

X-ray; Swallowed objects

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