Esophageal foreign body

Case contributed by Shailaja Muniraj
Diagnosis certain

Presentation

Excessive crying. Mother gives history of metallic clip ingestion.

Patient Data

Age: 2 years
Gender: Female
x-ray

There is a well defined, sharp edged radiodense focus noted at the level of T6/7 level.

Lateral view confirms distal thoracic esophageal location.

No features of perforation.

Photo

Post endoscopic removal showed a metallic clip. Esophageal mucosa showed minimal inflammation.

Picture courtesy : Dr Robert Anthony Charles

Case Discussion

Foreign body ingestion is frequent in the pediatric population.

Imaging is crucial to identify the anatomic location, number of foreign bodies and to look for potential complications.

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