Ingested coin

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Ingested coin. No respiratory distress.

Patient Data

Age: 10 months
Gender: Male
x-ray

Circular metallic density in keeping with a coin projects over the thoracic outlet. Lies in coronal plane. Lungs are clear with no atelectasis. 

x-ray

Soft tissue neck confirms coin lies in the esophagus, posterior to the trachea. 

Case Discussion

  • coins lying in the esophagus tend to lie in the coronal plane, whereas coins lying in the trachea lie in the sagittal plane
  • associated features of airway foreign bodies include atelectasis or hyperinflation as well as respiratory distress

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