UNEXPECTED 2ND FOREIGN-BODIES IN PEDIATRIC ESOPHAGEAL COIN INGESTIONS

Objective: To determine the frequency of unexpected second foreign bod ies in children who present to the pediatric emergency department with esophageal coin impaction. Design/Methods: A retrospective chart revi ew pediatric patients with esophageal coin impaction who underwent eso phagoscopy/laryngoscopy for coin removal in a 16-year period at a tert iary referral center. Data analysis consists of descriptive statistics . Results: Eighty three of 85 (95%) eligible charts were reviewed. Thr ee children (3.6%) had unsuspected second foreign bodies: an adherent penny, a second penny low in the esophagus, and pieces of paper and li nt. No significant esophageal injury occurred. Conclusions: Unexpected second foreign bodies in pediatric esophageal coin ingestions with ad equate radiographic studies are rare and generally do not cause signif icant esophageal injury.