Coin ingestions

  • More than 100,000 foreign body ingestions are reported in children each year; coins are #1 cause
  • Although not always 100% true, coins typically appear circular¬†on an AP Xray of the neck when in the esophagus and linear when in the trachea
  • Coins usually pass without issue, but warning signs are drooling, dysphagia, hoarse voice, wheezing, or stridor
  • 10-20% require endoscopy for removal and 1% require surgery
  • Objects lodged in the middle esophagus should raise concern for underlying pathology such as strictures, masses, or webs

Emergency Medicine Kenya Foundation