Afro-Egypt J Infect Endem Dis 2012 September ;2(3):132

 

Image Case:Extraction of an Impacted Coin in Upper Esophagus in 3 Years Old Female

 

Radwan MM ,Emara MH

 

Tropical Medicine Department, Faculty of Medicine, Zagazig University, Egypt
mradwan@zu.edu.eg

 

                              

 

Comment

  A 3-year-old female swallowed a large metallic coin (one Egyptian pound; the largest coin in Egypt). Laryngeal examination failed to demonstrate the coin and serial X ray films showed the coin impacted in the upper esophagus. Extraction under general anesthesia was done 5 days after swallowing. Areas of pressure necrosis at the site of impaction, as well as changes in the coin were noticed.