Sagittal Orientation Of Ingested Foreign Body Coin In Oesophagus At Tertiary Rural Health Care Center: A Case Report.

Foreign body (FB) ingestion and food bolus impaction is a common occurring event in children in all age groups, however, the most common age is 6 months to 4 years. Older children with underlying psychiatric problems are more susceptible to ingest FBs[1]. Most of ingested foreign bodies pass spontaneously with no intervention and coins are one of the usual ingested objects in the children[2-3]. Emergency intervention usually is needed in the symptomatic patients mainly with drooling, chest pain, and stridor or other red flags including: • Button batteries lodged in the esophagus. • Large objects >6 cm long and/or wider than 2.5 cm. • Magnet + metal object or >1 magnet ingestion. • Lead based objects failing to transit through the stomach. • High risk children: the previous GI surgery, tracheoesophageal fistulas or stenosing lesions1. In the absence of the above signs and symptoms and red flags, patient can be kept under observation for 12-24 hours for their spontaneous passage along the GIT [4]. Distal oesophagealcoinsare more likely to pass spontaneously than the proximal coins. Serial radiographs are obtained to localise the site of the FB in theconservative management protocol[5-6]. Coins in the oesophagus often oriented in the coronal plane (face on the frontal radiograph and edge on the lateral view), however tracheal FBs placement is more likely in the sagittal orientation [7].