ingested foreign body (esophageal foreign body, coin ingestion)

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Etiology

Epidemiology

  • older persons, especially with dementia
  • children

Clinical manifestations

  • difficulty handling secretions
  • drooling
  • leaning forward
  • patients can often localize the level of the lesion by pointing to it
  • inability to swallow
  • regurgitation of food (no vomiting)

Radiology

Complications

Management

More general terms

More specific terms

Additional terms

References

  1. Geriatrics Review Syllabus, American Geriatrics Society, 5th edition, 2002-2004
  2. 2.0 2.1 Waltzman ML, Baskin M, Wypij D, Mooney D, Jones D, Fleisher G. A randomized clinical trial in the management of esophageal coins in children. Pediatrics 2005 Sep; 116:614-9. PMID: https://www.ncbi.nlm.nih.gov/pubmed/16140701
  3. 3.0 3.1 Gharib SD et al Case 21-2015 - A 37-Year-Old American Man Living in Vietnam, with Fever and Bacteremia. N Engl J Med 2015; 373:174-183. July 9, 2015 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26154791 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMcpc1411439
  4. Ahmadi MS, Ahmadi M. Missed Pharyngeal Foreign Body in an Infant that Persisted for 50 days:A Rare Case. Iran J Otorhinolaryngol. 2012 Summer;24(68):151. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24303402 Free PMC Article
  5. 5.0 5.1 5.2 5.3 5.4 NEJM Knowledge+ Question of the Week. Nov 14, 2017 https://knowledgeplus.nejm.org/question-of-week/4148/
  6. 6.0 6.1 6.2 Tavarez MM, Saladino RA, Gaines BA, Manole MD. Prevalence, clinical features and management of pediatric magnetic foreign body ingestions. J Emerg Med 2012 Jun 26; 44:261 PMID: https://www.ncbi.nlm.nih.gov/pubmed/22727803
  7. 7.0 7.1 7.2 Wright CC, Closson FT. Updates in pediatric gastrointestinal foreign bodies. Pediatr Clin North Am. 2013 Oct;60(5):1221-39. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24093905