Presentation
Excessive crying. The mother suspected coin ingestion.
Patient Data
Age: 3 years
Gender: Male
From the case:
Esophageal foreign body - coin
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There is a rounded radiopaque foreign body at the gastro-esophageal junction in keeping with swallowed coin. Lateral view confirms the distal thoracic esophageal location.
Case Discussion
In the pediatric age, the most often ingested foreign body is a coin. On the frontal view, coins in the esophagus appear rounded on frontal view whereas those in the trachea appear linear as they take a sagittal orientation as they pass through the vocal cords. Below the carina level, it is almost always esophageal.
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