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Oesophageal Coin — RACP Paediatrics MCQ

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ModerateEmergency PaediatricsOesophageal CoinRACP Paediatrics

A 2-year-old child is brought in with a suspected ingestion of a small coin 1 hour ago. He is asymptomatic. X-ray shows the coin in the oesophagus at the level of the cricopharyngeus. What is the management?

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Correct answer: C — Urgent endoscopic removal (oesophageal coins should be removed within 24 hours, earlier if symptomatic or button battery suspected)

Oesophageal coins should be removed within 24 hours to prevent complications (erosion, perforation, aspiration). Coins at the cricopharyngeus are less likely to pass spontaneously than those at the LOS. Button batteries must be distinguished from coins on X-ray (double halo sign) as they require emergency removal within 2 hours.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Foreign Body Ingestion