Swallowed coins are the most commonly ingested foreign body seen in pediatric
patients.
Tracheal coins that have been aspirated through the vocal cords are typically
described as having a narrow, "on-end" appearance on chest x-ray (AP or PA) due to
the presence of tracheal rings. Swallowed esophageal coins, on the other hand,
typically appear as disks on an AP or PA chest x-ray. However, there have been case
reports that indicate variability in these findings and a lateral x-ray may be a useful
adjunct to accurately determine location.
patients.
Tracheal coins that have been aspirated through the vocal cords are typically
described as having a narrow, "on-end" appearance on chest x-ray (AP or PA) due to
the presence of tracheal rings. Swallowed esophageal coins, on the other hand,
typically appear as disks on an AP or PA chest x-ray. However, there have been case
reports that indicate variability in these findings and a lateral x-ray may be a useful
adjunct to accurately determine location.
gastroenterology consultation for emergent endoscopic removal under procedural
sedation or general anesthesia is recommended.
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