TY - JOUR AU - Moreno Alfonso, Julio César AU - Pérez Martínez, Alberto AU - Molina Caballero, Ada Yessenia AU - Busto Aguirreurreta, Néstor AU - Goñi-Orayen, Concepción AU - Gil Sáenz, Francisco José AU - Elcano Sarasibar, Leire PY - 2023/05/04 Y2 - 2024/03/28 TI - Unusual radiological finding in foreign bodies ingestion: three esophageal coins JF - Colombia Medica JA - Colomb Med VL - 52 IS - 4 SE - Case Report DO - 10.25100/cm.v52i4.5016 UR - https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/5016 SP - e5005016 AB - <div id="idm140357795959872" class="sec sec-first"><h3 id="idm140357795959872title">Case description:</h3><p id="idm140357795959488" class="p p-first-last">A 5-year-old girl presented to the emergency department with a history of foreign body ingestion. A cervico-thoracoabdominal radiograph demonstrate a foreign body in the esophagus, which seemed to show a double rim sign suspecting a button battery. After an emetic episode and expelling a coin, the child became asymptomatic. Close inspection of the X-ray demonstrated that the image was formed by superimposition of 3 circumferential objects of different sizes. Another X-ray observed the persistence of two superimposed objects.</p></div><div id="idm140357795958688" class="sec"><h3 id="idm140357795958688title">Clinical findings:</h3><p id="idm140357795958304" class="p p-first-last">The girl presented with sialorrhea, odynophagia, and nausea. Vital signs and physical examination were normal. There was no significant medical history.</p></div><div id="idm140357759693360" class="sec"><h3 id="idm140357759693360title">Treatment and Outcome:</h3><p id="idm140357759692976" class="p p-first-last">With the suspicion of multiple impacted esophageal objects, the patient was then taken to the operating room. During the flexible esophagoscopy 2 coins were found in the esophagus, both were removed without difficulty. The patient had an uneventful postoperative recovery and there have been no long-term complications.</p></div><div id="idm140357759692384" class="sec sec-last"><h3 id="idm140357759692384title">Clinical relevance:</h3><p id="idm140357759692000" class="p p-first-last">Unusual radiographic findings regarding esophageal foreign bodies have been reported, however, we describe the first case of a child with 3 coins impacted in the esophagus and a new radiological finding in foreign bodies ingestions that allow to avoid misdiagnosis and improve outcomes.</p></div> ER -