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- 1Junior Resident, Department of Otolaryngology & Head Neck Surgery, Government Medical College, India
- 2Senior Resident, Department of Otolaryngology & Head Neck Surgery, Government Medical College, India
- 3Assistant Professor, Department of ENT & Head Neck Surgery, GMC, India
*Corresponding author:
Satinder Pal Singh, Senior Resident, Department of Otolaryngology & Head Neck Surgery, Government
Medical College, India
Received: August 12, 2020; Published: August 24, 2020
DOI: 10.32474/SJO.2020.05.000202
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Abstract
A 4-year-old child presented to the emergency department with an acute onset of dysphagia and vomiting. A plain X-ray soft
tissue neck lateral view revealed a double circular opacity in the cervical oesophagus consistent with an ingestion of multiple
foreign bodies. Preoperative planning and SARS-CoV2 testing is of particular importance for the pediatric population and if testing
cannot be performed, patients in all age groups should be handled as though they are positive for COVID-19, and appropriate
precautions should be taken. The child was taken to the theatre for rigid pharyngo-oesophagoscopy and removal of the coins.
After the first coin was removed subsequent endoscopic examination revealed a second coin at the same location. This extremely
rare case of two ingested coins becoming impacted with perfect radiological alignment, we would therefore advocate having a low
threshold for performing a ‘second look’ endoscopy after removal of the first foreign body with postoperative X-rays.
Keywords: COVID-19 Pandemic; otolaryngology; foreign body coin
Abbreviations: PPE: Personal protective equipment; COVID-19: Coronavirus disease 2019; SARS-CoV-2: Severe acute respiratory
syndrome coronavirus-2
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