Coin(s) in Esophagus

Extraction Case

Coins are the most common foreign body requiring removal under general anaesthesia. When an xray suggests that an esophageal foreign body is a coin, it is essential to verify that the foreign body is not a disc battery (which would burn the esophagus). Occasionally, a toddler will swallow more than one coin, as the last xray demonstrates.

A coin rarely causes airway obstruction; but when it does, the obstruction can be severe.

Extraction Video

Coins (and other esophageal foreign bodies) usually lodge just below the upper esophageal sphincter (a.k.a. the cricopharyngeus muscle).

Did You Know?!

For every choking-related death, an estimated 110 children are treated in hospital emergency departments for non-fatal choking.[Ref:43]