title: Esophageal perforation caused by coin ingestion.
abstract: Esophageal perforation and acquired tracheoesophageal fistulae (ATEF) are rare sequelae of foreign body ingestion in the pediatric population. Here we discuss the cases of two patients with esophageal perforation caused by prolonged impaction of a coin; in one case, a tracheoesophageal fistula developed. The presence of aerodigestive symptoms and signs in infants and small children should prompt physicians to consider foreign body ingestion and the presence of an ATEF. Clinical presentation, diagnostic modalities, and technical considerations for surgical management are outlined.
authors.affiliation: Department of Surgery, Georgia Baptist Medical Center, Atlanta 30312.
authors.forename: J G
authors.initials: JG
authors.lastname: Tucker
authors.forename: H H
authors.initials: HH
authors.lastname: Kim
authors.forename: G W
authors.initials: GW
authors.lastname: Lucas
mesh_terms: D002675:Child, Preschool; D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005549:Foreign-Body Reaction / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography; D014138:Tracheoesophageal Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery