CRCM  Vol.2 No.4 , July 2013
An impacted oesophageal foreign body in a physically abused child
Abstract: Physicians under-report cases of child abuse or child maltreatment. We present a case of an impacted oesophageal foreign body in a physically abused child. S.H. is a 7-year-old male child who accidentally ingested metal clip while being assaulted by his paternal uncle whom he resides with. He presented with dysphagia, odynophagia and drooling of saliva and urgent x-ray soft tissue neck revealing the presence of the metallic foreign body in the prevertebral region. He had emergency oesophagoscopy with the removal of foreign body, did well and was discharged home 4th day postoperatively after parental counselling. It remains the responsibility of paediatric healthcare providers to consider child maltreatment as a differential diagnosis of any unexplained injury or medical problems, including oesophageal foreign body impaction.
Cite this paper: Afolabi, O. , Adoga, A. , Musa, E. , Bemu, A. , Mohammed, G. , Kodiya, A. , Bakari, A. and Ahmad, B. (2013) An impacted oesophageal foreign body in a physically abused child. Case Reports in Clinical Medicine, 2, 256-259. doi: 10.4236/crcm.2013.24070.

[1]   Flaherty, E.G. and Sege, R. (2005) Barriers to physician identification and reporting of child abuse. Pediatric Annals, 34, 338.

[2]   Newton, A.W. and Vandeven, A.M. (2009) Update on child maltreatment. Current Opinion in Pediatrics, 21, 252-261. doi:10.1097/MOP.0b013e328329263d

[3]   Afolabi, O.A., Okhakhu, A.L. and Adeosun, A.A. (2009) Re-emergence of coin in Nigerian currency: Implication in medical practice. The Internet Journal of Otorhinolaryngology, 9, 4.

[4]   Amadasun, E.O. (1995) Coin as oesophagia foreign body: Effect of change in minting. African Medical Review, 6-8.

[5]   Crysdal, W.S., Sendi, K.S. and Yoo, J. (1991) Oesophageal foreign bodies in children: 15 years review of 684 cases. Annals of Otology, Rhinology, and Laryngology, 100, 320-368.

[6]   MacManus, J.E. (1941) Perforations of the intestine by ingested foreign bodies: Report of two cases and review of the literature. The American Journal of Surgery, 53, 393-402. doi:10.1016/S0002-9610(41)90652-9

[7]   Scher, R.L., Tegtmeyer, C.J. and McLean, W.C. (1990) Vascular injury following foreign body perforation of the esophagus: Review of the literature and report of a case. Annals of Otology, Rhinology, and Laryngology, 99, 698-702.

[8]   Kamal, I., Thompson, J. and Paquette, D.M. (1999) The hazards of vinyl glove ingestion in the mentally retarded patient with pica: New implications for surgical management. Canadian Journal of Surgery, 42, 201-204.

[9]   Okoye, I.J., Imo, A.O. and Okwulehie, V. (2005) Radiologic management of impacted coin in the oesophagus— A case report. Nigerian Journal of Clinical Practice, 8, 56-59.

[10]   O’Flynn Simo, R.P. (2007) Fish bones and other foreign bodies. Clinical Otolaryngology, 18, 231-233. doi:10.1111/j.1365-2273.1993.tb00837.x

[11]   Connolly, A.A., Birchall, M., Walsh-Waring, G.P. and Moore-Gillon, V. (1992) Ingested foreign bodies: Patient guided localization is a useful clinical tool. Clinical Otolaryngology, 17, 520-524. doi:10.1111/j.1365-2273.1992.tb01710.x

[12]   Hachimi-Idrissi, S., Corne, L. and Vandenplas, Y. (1998) Management of ingested foreign bodies in childhood: Our experience and review of the literature. European Journal of Emergency Medicine, 5, 319-323. doi:10.1097/00063110-199809000-00007

[13]   Waltzman, M.L., et al. (2005) A randomized clinical trial in the management of esophageal coins in children. Pediatrics, 116, 614-619. doi:10.1542/peds.2004-2555