KINDERRADIOLOGIE ONLINE - view radiology images and radiology cases
Lesen Sie diese Seite auf Deutsch   Read this page in English
The Peer Reviewed Pediatric Radiology Platform on the Web
ISSN: 1942-955X :: Publisher: EduRad ::Editor-In-Chief: Roland Talanow, MD, PhD  
Browse Browse || Search Search || Online Book Systematically Online Book Systematically || Discussion Forum Discussion Forum || News News || Submit a Case Submit a Case || Rules Rules |
Most Interesting Cases Most Interesting Cases || "Most Diligent" Authors "Most Diligent" Authors || Case of the Day Case of the Day || Teaching files Teaching files || Links Links |
Newsletter Newsletter || Start Start || Survey Survey || Your Opinion Your Opinion || My Profile My Profile || CME-Credits CME-Credits |
    Pediatric Radiology News / Ads / Jobs Get the Pediatric Radiology News as RSS feed !
    Send us your news or ads for free
  • Diagnosis of a Peritonsillar Abscess by Transcutaneous Point-of-Care Ultrasound in the Pediatric Eme... (Pediatr Emerg Care)
  • The many shades of enhancement: timing of post-gadolinium images strongly influences the scoring of ... (Pediatr Radiol)
  • Age related changes in brain MR appearance in the course of neurocutaneous melanosis.... (Eur J Radiol)
  • CME Kurs: Paediatric Body MRI

  • CME course: Paediatric Body MRI

  • Universitätsklinikum Jena sucht eine Ärztin/einen Arzt in Weiterbildung in Vollzeit

  • Kinderspital Zürich sucht Oberärztin / Oberarzt (100 %)

  • Kinderradiologische Oberärztin / Oberarzt gesucht

  • 2 Stellen in der Kinderradiologie - 1 Assistenzärztin/Assistenzarzt und 1 Oberärztin/Oberarzt in Voll- oder Teilzeit

  • Senior Paediatric Radiologist in Pediatric Radiology section needed

  • Facharzt als Oberärztin / Oberarzt in Sektion Kinderradiologie gesucht

  • Stellenangebot für Assistenzarzt (m/w) zur Facharztausbildung für RADIOLOGIE und/oder KINDERRADIOLOGIE

  • „Fellow“-Stelle zur Weiterbildung in Pädiatrischer Radiologie am Kinderspital Zürich

  • Fellow-Stelle Pädiatrische Neuroradiologie

  • FFF Kinderradiologie - Muskuloskelettale Radiologie im Kindesalter (Fit für den Facharzt)

  • Assistenzarzt für Kinderradiologe gesucht an Universitätsklinikum Schleswig-Holstein, Campus Kiel

  • Turnusarzt (m/w) in Ausbildung zum Facharzt (m/w) für Radiologie

  • Assistenzarzt (m/w) zur Weiterbildung im Schwerpunkt Kinderradiologie

  • Send us your news or ads for free

    Get the Pediatric Radiology News as RSS feed !


    Radiolopolis

    The dynamic Radiology community for education, research and practice


     

    Go to the top of the page   ID: 20020822153232 Original case in english  More links about this topic on Pubmed (PubMed Reader)
    Add this case to your RSS feeder: Subscribe to RSS feed Add to Yahoo Add to Google Add to AOL Add to Furl Subscribe to Feed Burner feed

    Bookmark and Share


    | The Authors | Discussion | Write a Comment to this Case |
    | Evaluate this Case | Recommend this Case to a Colleague |
    | Citation | Similar Cases | Similar Cases in the Internet | Images to this Case |
     
    Coin Ingestion
    C Kunze, R Mund, Carsten Bock. Coin Ingestion. PedRad [serial online] vol 2, no. 8.
    URL: www.PedRad.info/?search=20020822153232


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    C. Kunze, R. Mund, Carsten Bock (Halle)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    N/A  

     
     Pediatric Radiology CasesGender:

    N/A  

     
     Pediatric Radiology CasesRegion-Organ:

    GI-Stomach  

     
     Pediatric Radiology CasesMost likely etiology:

    physical  

     
     Pediatric Radiology CasesHistory:

    According to the statements of the mother, the child swallowed a coin, probably 10-cent piece. Confirmation? Position of the coin?  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: X-ray of the thoracic and abdominal regions with proof of a metal, round foreign body in the area of the stomach. The rough edges of the coin can be seen. It seems it is somewhat larger than a 10 cent coin, but smaller than a 50 cent coin.




    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: The stomach is not empty: within the echogenic stomach contents an image of a linear echogenic structure of about 15 mm with a hint of dorsal increase of sound, most likely the coin.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Sonographic image of a 10 cent coin shown transversally. The highly echogenic surface (about 20 mm) is smooth. Dorsally, there is on the one hand a typical repeating echo between the transducer and coin as well as a dorsal increase of sound through resonance phenonema. The size of the coin: 19.75mm (see literature).




    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: 10-Cent tangential:highly echogenic round structure with rough edges of the coin.




    Ultrasound 4 <- view Ultrasound 4

    Ultrasound 4: 2-Euro tangential front: The "2" can be seen and the border between gold and silver can be seen as well.




    Ultrasound 5 <- view Ultrasound 5

    Ultrasound 5: 2 Euro tangential opposite side: The eagle can be seen









    Ultrasound 6 <- view Ultrasound 6

    Ultrasound 6: 50-Cent tangential (opposite side):
    The "Brandenburg Gate" can be seen







    Ultrasound 7 <- view Ultrasound 7

    Ultrasound 7: Diagonal coin surface in the area of the antrum.




    Ultrasound 8 <- view Ultrasound 8

    Ultrasound 8: Control to see where the coin is located on the following day after n.p.o (stomach filled with tea): smooth surface with linear, echogenic structure of about 20 mm diameter with dorsal increase in sound, changes on position -- it's the coin.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Imaging including endoscopy  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Other swallowed foreign bodies, in this specific case however, a quite reliable diagnosis of ingestion of a 10-cent piece possible.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Since after the 3rd day, the coin was still in the stomach, an endoscopic removal of the coin was made.
    According to the Muensters regarding the acid-stability of the new Euro coins, these can be left up to a week to wait for a spontaneous voiding. (see literature)  

     
     Pediatric Radiology CasesComments of the author about the case:

    As a follow-up,. if the roentgenologically and sonographically foreign object was still in the stomach, a sonograph was performed with filling the stomach with tea (echoless fluid), to avoid further roentgenological examinations after a spontaneous voiding could not be proven. The primary x-ray to localize the foreign object is, however, not renounceable.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    Dtsch Ärzteblatt 2002; 99: A 2106-2110 (Heft 31-32)  

     
     Pediatric Radiology CasesKeywords:

    ingestion, metal, money, coin ingestion, foreign body, foreign body ingestion, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    C Kunze, R Mund, Carsten Bock. Coin Ingestion. PedRad [serial online] vol 2, no. 8.
    URL: www.PedRad.info/?search=20020822153232  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: GI-Stomach
    or in the region: GI
    or in the tissue/organ: Stomach
    or with the etiology: physical
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     
    Coin Ingestion
    C Kunze, R Mund, Carsten Bock. Coin Ingestion. PedRad [serial online] vol 2, no. 8.
    URL: www.PedRad.info/?search=20020822153232


     

    Search similar cases in:
    More links about this topic on Pubmed  More links about this topic on Yahoo  More links about this topic on Altavista  More links about this topic on MSN  More links about this topic on Google  More links about this topic on Fireball

    Peer-reviewed Radiology Search



    Coin Ingestion
    Other cases by these authors:

    Search C. Kunze in Medline C. Kunze (3)   
    Search R. Mund in Medline R. Mund (16)   
    Search Carsten Bock in Medline Carsten Bock (9)   

    Coin Ingestion  
     
    Coin Ingestion
    C Kunze, R Mund, Carsten Bock. Coin Ingestion. PedRad [serial online] vol 2, no. 8.
    URL: www.PedRad.info/?search=20020822153232


     
     
    Coin Ingestion
    C Kunze, R Mund, Carsten Bock. Coin Ingestion. PedRad [serial online] vol 2, no. 8.
    URL: www.PedRad.info/?search=20020822153232


     

    Medical Dictionary
    Search in medical dictionary for
    Or type in a keyword
    ( Provided by The On-Line Medical Dictionary )




    How interesting was this case for you?
    (10 = most interesting || 1 = less interesting)
     
    Coin Ingestion
    C Kunze, R Mund, Carsten Bock. Coin Ingestion. PedRad [serial online] vol 2, no. 8.
    URL: www.PedRad.info/?search=20020822153232


     




    Discussion >> Write Comment <<



      There are no comments available regarding this case.





     Write a comment to this case (With * marked fields have to be filled)

    Type in this number: 8674

    Name: *

    E-Mail:

    Website:

    Subject: *

    Text: *




     
      Pediatric Radiology Discussion Get the Pediatric Radiology Discussion as RSS feed !
      To the discussion forum
      To the discussion forum

      Get the Pediatric Radiology Discussion as RSS feed !

      © 2001-2016   www.kinderradiologie-online.de
      In cooperation with © Radiolopolis - Radiology Search - Radiology Teacher - PubMed Reader - Annotate - Radiology Lectures & Tutorials - Radiology Boards Preparation - Pediatric Radiology Links - Pediatric Radiology Information - Emergency Radiology - Lung Cancers - USMLE Forums - Cancer Staging Information - Chest Radiology - Radiology Case Report Journal
      For suggestions and questions: information@kinderradiologie-online.de
      Add this site to your favorites (CTRL+D)