A Coin and Something Else: A Rare Case Report

Abstract

Foreign body ingestion in children is considered an emergency. The most common ingested foreign bodies are coins; however, the ingestion of disc batteries is on the rise requiring urgent rigid esophagoscopy. In the literature, multiple foreign body ingestion is very rare and only a few cases of multiple coins and multiple battery ingestion have been reported in the past. Herein, a case of simultaneous coin and battery ingestion requiring foreign bodies removal on two sequential endoscopies due to improper initial evaluation in a pediatric patient is reported which, to our knowledge, is the first reported case.

A Rare Case of Endoscopic Removal of 63 Coins From the Stomach of an Adult

“…Most of the published records pertain to 1-3 coins removed from the esophagus and stomach of children (Table 1) [7][8][9][10][11][12][13][14]. Button batteries are another type of object that necessitates immediate extraction due to the potential risk of mucosal injury from the electric current they generate.…”

“…In management, most clinicians wait for the natural elimination of the coin [ 13 ]. In case of failure, the European Society of Gastrointestinal Endoscopy recommends removal within 24 hours for sharp objects and 72 hours for blunt objects by endoscopy [ 3 , 4 ].…”