Foreign body ingestion in children is considered an emergency. The most common ingested foreign bodies are coins; however, the ingestion of disc batteries is on the rise requiring urgent rigid esophagoscopy. In the literature, multiple foreign body ingestion is very rare and only a few cases of multiple coins and multiple battery ingestion have been reported in the past. Herein, a case of simultaneous coin and battery ingestion requiring foreign bodies removal on two sequential endoscopies due to improper initial evaluation in a pediatric patient is reported which, to our knowledge, is the first reported case.
References
[1]
Cutajar, J., Astl, J. and Borg, C. (2011) Radiologically Aligned Triple Coin Impaction in the Upper Oesophagus: The Value of Second-Look Oesophagoscopy. International Journal of Pediatric Otorhinolaryngology Extra, 6, 192-194. https://doi.org/10.1016/j.pedex.2010.08.004
[2]
Kuhi, S. and Gulati, A. (2014) A “Two-in-One” Foreign Body Coin in Oesophagus: A Case Report. IORS Journal of Dental and Medical Sciences, 13, 65-67. https://doi.org/10.9790/0853-13436567
[3]
Takahashi, J., Shiga, T. and Funakoshi, H. (2017) Oesophageal Coins Invisible on Chest Radiography: A Case Report. International Journal of Emergency Medicine, 10, 17-20. https://doi.org/10.1186/s12245-017-0153-8
[4]
Littlehales, E., Levi, E., Mills, N., Metcalfe, R. and Hamill, J. (2018) Double Button Battery Ingestion—The “Macaroon” Sign. Journal of Pediatric Surgery Case Reports, 36, 36-39. https://doi.org/10.1016/j.epsc.2018.06.013
[5]
Dawe, N., Puvanendran, M. and Flood, L. (2013) Unwitnessed Lithium Ion Disc battery Ingestion: Case Report and Review of Best Practice Management of an Increasing Clinical Concern. The Journal of Laryngology & Otology, 127, 84-87. https://doi.org/10.1017/S0022215112002617
[6]
Flint, P.W. and Cummings, C.W. (2010) Cummings Otolaryngology: Head and Neck Surgery. http://www.clinicalkey.com/dura/browse/bookChapter/3-s2.0-B9780323052832X00018
[7]
McFadden, G., George, P. and Dolan, P. (2021) A Boy with Ambiguous Foreign Body Ingestion. Annals of Emergency Medicine, 77, 119-120. https://doi.org/10.1016/j.annemergmed.2020.12.021
