Coin inside cast

Case contributed by Leonardo Lustosa
Diagnosis certain

Presentation

Forearm bones fracture. The coin was noted on the follow-up radiograph.

Patient Data

Age: 5 years
Gender: Male
x-ray

Follow-up radiograph after forearm bones fracture. A coin was incidentally found inside the cast.

Case Discussion

The patient inserted the coin inside the cast a few days before the follow-up exam and could not remove it by himself. He did not alert his parents about the coin and had no complaints.

It is essential to identify the object correctly. While a coin is mostly harmless, a battery could injure the patient. These are very similar, but batteries usually have a slight step in profile and an inner ring when viewed across its diameter.

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