Presentation of an unusual metallic foreign body in a child

Abstract

Ingestion of foreign object is a common problem with children. These foreign bodies (FBs) can be in the respiratory tract of the aerodigestive tract. A 14-month-old male child presented to the emergency department of our hospital at 6.30 pm with irritability and continuous crying. On radiology, we found that the metallic body in the shape of a cycle was lodged in the upper esophagus. We decided to remove the FB endoscopically using an esophagoscope. We used meticulous and gentle manipulation around the edge of the metallic FB and did over a sufficient amount of time so as to dislodge the body from the impacted esophageal mucosa without causing any trauma or bleeding from the adjacent site. The child was placed under overnight observation in the hospital. The stay in the hospital was uneventful, and the child was discharged the next day. We would like to present this case due to unusual shape and nature of the FB and the difficulty encountered in clinical management of the patient.

From the Bottlecap to the Bottleneck: Frequent Esophageal Impaction of Bottlecaps Among Young Males in a Small University Town

“…However, what is striking about the collective at hand is not so much the conclusion that may be drawn from the handling of the esophageal foreign bodies. There is an ample amount of scientific literature addressing esophageal foreign bodies [ 7 , 8 ], including numerous reports of remarkable foreign bodies [ 9 , 10 ] and even scientific guidelines [ 3 ]. What is remarkable about the collective at hand is both the homogeneity of the foreign bodies as well as the patients characteristics: It has been established that bottlecaps pose a considerable danger to the eyes [ 11 ] the knee [ 12 ] and, if severely misplaced, even the urogenital tract [ 13 ].…”