title: Suspected esophageal coin--look again.
abstract: A 4-year-old presented to the emergency department, asymptomatic, with the strong suspicion (by history, physical examination, and initial radiographic interpretation by the emergency physician) of an esophageal coin. Closer inspection revealed radiographic signs associated with disk battery ingestion, a surgical emergency. In the operating room superimposed coins, mimicking the radiographic appearance of a disk (button) battery, were extracted. This case highlights the important management differences between ingested coins and batteries, the need for cautious interpretation of radiographs, and presents a rare mimic of a serious ingestion.
authors.affiliation: Naval Medical Center, 620 John Paul Jones Circle, Portsmouth, VA, 23708, USA. Electronic address: kenneth.frumkin.civ@mail.mil.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Frumkin
authors.affiliation: Naval Medical Center, 620 John Paul Jones Circle, Portsmouth, VA, 23708, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Lanker
mesh_terms: D002675:Child, Preschool; D003937:Diagnosis, Differential; D011211:Electric Power Supplies; D004630:Emergencies; D004945:Esophagoscopy; D004947:Esophagus / Q000000981:diagnostic imaging* / Q000601:surgery; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007828:Laryngoscopy; D008297:Male; D009717:Numismatics; D011859:Radiography