Double coin in esophagus at same location and same alignment - a rare occurrence: a case reportReportar como inadecuado

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Cases Journal

, 2:7758

First Online: 16 July 2009Received: 11 May 2009Accepted: 24 June 2009DOI: 10.4076-1757-1626-2-7758

Cite this article as: Upadhyaya, E.V., Srivastava, P., Upadhyaya, V.D. et al. Cases Journal 2009 2: 7758. doi:10.4076-1757-1626-2-7758


Coin is the most common foreign body swallowed by pediatric age group. The multiple coin swallowing is extremely rare and very few cases had been reported in English literature. Most of them were present at different site and had different alignment in the esophagus. The location of the coin trachea vs. esophagus is commonly determined by the alignment of the coin on radiographic studies. A 4-year-girl was presented to us with history of coin ingestions one day back without any respiratory distress. On radiological study there was suspicion of two coins on same location and alignment. The diagnosis was confirmed after removal. The both coin was removed successfully by esophagoscopy. Unexpected second foreign bodies in pediatric esophageal coin ingestions are rare and it is mandatory to do post operative radiography after removal to exclude duplex coin or tracheal coin. We are presenting this case because of its rarity, difficulty in diagnosis especially when proper history is not available.

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Autor: Eti V Upadhyaya - Punit Srivastava - Vijay D Upadhyaya - AN Gangopadhyay - SP Sharma - DK Gupta - Zaheer Hassan


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