title: [An unusual finding of two coins together in the esophagus of pediatric patients. Report of two cases].
abstract: The ingestion of foreign bodies (EB) is a frequent complaint in the Pediatric Emergency Services. Studies report that in children occurs 80% of the EC, most frequently between 6 months and 3 years old and the second held because of urgent endoscopy in pediatrics. In 80-90% of cases the CE spontaneously passes through the upper gastrointestinal tract, however occasionally staying in the esophagus and should be removed to avoid dangerous complications such as obstruction or perforation of the upper digestive tract bleeding, ulcers, or fistulas. Intake and impaction of multiple foreign bodies in the esophagus, is a few event times reported in children. Most reports, corresponds to the ingestion of magnets, although still rare even presentation, can cause serious gastrointestinal complications, because the attraction between them can trap walls causing multiple small bowel perforation, fistula formation, volvulus, intraperitoneal hemorrhage and even death. Although the coins are the most commonly found foreign bodies in esophagus in children, the discovery of multiple currencies is very few times reported event. Two cases of pediatric patients treated in the emergency, with the discovery of two coins together and aligned with esophageal level is presented.
authors.affiliation: Servicio de Pediatría, Hospital Regional de Lambayeque. Chiclayo, Perú.
authors.forename: Alexis
authors.initials: A
authors.lastname: Ormeño Julca
mesh_terms: D002675:Child, Preschool; D004945:Esophagoscopy; D004947:Esophagus / Q000000981:diagnostic imaging*; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging*; D006801:Humans; D009717:Numismatics; D011859:Radiography