International Journal of
Medicine and Medical Sciences

  • Abbreviation: Int. J. Med. Med. Sci.
  • Language: English
  • ISSN: 2006-9723
  • DOI: 10.5897/IJMMS
  • Start Year: 2009
  • Published Articles: 534

Multiple oesophageal coin-like foreign bodies appearing like one: A caution for otorhinolaryngologis

Segun-Busari Segun
  • Segun-Busari Segun
  • Department of Otorhinolaryngology,University of Ilorin Teaching Hospital,P. O. Box 2400, Ilorin, Kwara State, Nigeria.
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Afolabi Olushola Abdulrahman
  • Afolabi Olushola Abdulrahman
  • Department of Otorhinolaryngology,University of Ilorin Teaching Hospital,P. O. Box 2400, Ilorin, Kwara State, Nigeria.
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Alabi Biodun Sulyman
  • Alabi Biodun Sulyman
  • Department of Otorhinolaryngology,University of Ilorin Teaching Hospital,P. O. Box 2400, Ilorin, Kwara State, Nigeria.
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Adebola Stephen Oluwatosin
  • Adebola Stephen Oluwatosin
  • Department of Otorhinolaryngology,University of Ilorin Teaching Hospital,P. O. Box 2400, Ilorin, Kwara State, Nigeria.
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  •  Accepted: 02 May 2013
  •  Published: 01 June 2013

Abstract

 

Ingestion of foreign bodies is a common pediatric problem. Majority of ingested foreign bodies pass freely without causing any injury. Ingestion of multiple foreign objects and recurrent episodes are uncommon. Thus we present a case of multiple foreign body ingestion to caution otorhinolaryngologist. We present a six year old boy admitted eight hours following ingestion of a multiple roundish metallic object. There is associated dysphagia to solids and liquid feeds with drooling of saliva. He has had two episodes of induced non-projectile vomiting which contains recently ingested feeds prior to admission. There is no cough or difficulty in breathing. Examination of the neck revealed a positive pointing sign. Plain radiograph of the soft tissues neck revealed a spherical radio-opaque object of metallic density within the oesophagus at the level of C5 to C7. Patient had rigid oesophagoscopy under general anaesthesia with extraction of the multiple metallic foreign bodies. It was uneventful both post operatively and on follow up. The study thus revealed though multiple oesophageal foreign body is rare, there is need for caution among the otorhinolaryngologist when extracting the oesophageal foreign bodies and also stressed the need to double check again following extraction, that is, to repeat endoscopy.

 

Key words: Multiple, oesophageal, foreign bodies, endoscopy, otorhinolaryngologist.