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    Go to the top of the page   ID: 20020822153232 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    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 ─rzteblatt 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


     

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    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


     

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


     




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