Presentation
Ingested a coin a couple of hours ago. Pain and dysphagia.
Patient Data
Radiographs revealed a round metallic density object in keeping with a coin projecting over the esophagus. The lateral view allows for the visualization that the foreign body is posterior to the trachea and therefore is within the esophagus.
No signs of obstruction or perforation.
Case Discussion
In the present case, the history of coin ingestion was corroborated by the radiographs.
In some instances, it might be necessary to recognize whether the foreign object is within the esophagus or the trachea. In this case, the lateral radiograph was performed and allowed for clear visualization of the object within the esophagus.
Ingested foreign body management usually depends on its location. Foreign bodies within the esophagus are usually subjected to endoscopic removal, which can be either urgent or done within the next 24 hours.
In this case, since the foreign body was symptomatic, urgent endoscopic removal was performed.