• CDC
  • Heart Failure
  • Cardiovascular Clinical Consult
  • Adult Immunization
  • Hepatic Disease
  • Rare Disorders
  • Pediatric Immunization
  • Implementing The Topcon Ocular Telehealth Platform
  • Weight Management
  • Monkeypox
  • Guidelines
  • Men's Health
  • Psychiatry
  • Allergy
  • Nutrition
  • Women's Health
  • Cardiology
  • Substance Use
  • Pediatrics
  • Kidney Disease
  • Genetics
  • Complimentary & Alternative Medicine
  • Dermatology
  • Endocrinology
  • Oral Medicine
  • Otorhinolaryngologic Diseases
  • Pain
  • Gastrointestinal Disorders
  • Geriatrics
  • Infection
  • Musculoskeletal Disorders
  • Obesity
  • Rheumatology
  • Technology
  • Cancer
  • Nephrology
  • Anemia
  • Neurology
  • Pulmonology

Coin Ingestion

Article

A 7-year-old girl was brought to the emergency department because of moderate pain on swallowing and mild upper abdominal discomfort. A few hours earlier, she had been given a piggy bank in order to save money for a family trip planned for the next day. On shaking the piggy bank upside down above her head, a few coins fell out. The child admitted to swallowing a coin. Physical examination findings were unremarkable. A plain abdominal radiograph showed what appeared to be 1 coin in the stomach (A)


Click to Enlarge

A 7-year-old girl was brought to the emergency department because of moderate pain on swallowing and mild upper abdominal discomfort. A few hours earlier, she had been given a piggy bank in order to save money for a family trip planned for the next day. On shaking the piggy bank upside down above her head, a few coins fell out. The child admitted to swallowing a coin.

Physical examination findings were unremarkable. A plain abdominal radiograph showed what appeared to be 1 coin in the stomach (A). Because the child and her family were travelling the next day, the decision was made to retrieve the foreign body. During an upper endoscopy, 2 coins were located in the body of the stomach (B). They were retrieved with a Roth net, without complication.

 


Click to Enlarge

Most coin ingestions occur in children between 6 months and 3 years of age.1 Once the coins pass the gastroesophageal junction, they usually progress through the remainder of the GI tract without difficulty in children with normal anatomy.2 If more than 1 coin or any other foreign body is suspected, a lateral abdominal radiograph may be obtained as well.

 

 

 

 

 

References:

REFERENCES:


1

. Metzl K. Question from the clinician: coin ingestion.

Pediatr Rev

. 2003;24:395.

2

. Conners GP. Management of asymptomatic coin ingestion.

Pediatrics

. 2005;116:752-753.

Related Videos
"Vaccination is More of a Marathon than a Sprint"
Vaccines are for Kids, Booster Fatigue, and Other Obstacles to Adult Immunization
Related Content
© 2024 MJH Life Sciences

All rights reserved.