Accidental ingestion of coins by children: management at the ENT Department of the João XXIII Hospital.
The ingestion of foreign bodies by children is frequently seen in emergency departments. ENTs can manage those lodged in the esophagus but experience is important for a successful intervention.


OBJECTIVE
Describe seven cases of children that ingested coins, managed at the ENT Department of João XXIII Hospital.


METHODS
Clinical/prospective.


METHODS
We describe seven cases (gender, age, family status, coin size and treatment/evolution).


RESULTS
Age ranged from one to nine years. Two patients were only children and five were the youngest in their families. Coins sizes ranged from 1.9 to 2.5 cm. After eight hours of observation, three cases were treated in the surgery room because the foreign body was lodged in the cricopharynx. Four cases resolved spontaneously.


CONCLUSIONS
The ENT department has good results removing coins lodged in the upper esophagus using forceps and laryngoscopy; and also using rigid esophagoscopy for the lower esophagus. In this study it was not possible to establish the importance of coin size and patient age in attempting to predict spontaneous resolution, nor if the child being an only child or the youngest in the family may have some predisposition in this kind of accident.
T-Ping
Cheng
C
EPM, UNIFESP, Brazil. chengorl@ig.com.br
Nunes
Cassimiro Afonso
CA
Guimarães
Gabriel Rabelo
GR
Vieira
João Penna Martins
JP
Weckx
Luc Louis Maurice
LL
Borges
Tanner José Arantes
TJ
D002648:Child; D002675:Child, Preschool; D004947:Esophagus / Q000000981:diagnostic imaging; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000628:therapy*; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging; D006801:Humans; D007223:Infant; D007828:Laryngoscopy / Q000379:methods*; D008297:Male; D009717:Numismatics; D011446:Prospective Studies; D011859:Radiography; D012075:Remission, Spontaneous