Radiological Case of the Month FREE

Eliezer Nussbaum, MD; David G. Fleming, PhD, MD; Robert E. Wood, PhD, MD; Thomas F. Boat, MD; Carl F. Doershuk, MD; Lionel W. Young, MD

[+] Author Affiliations

Reprint requests to Department of Radiology, Children's Hospital of Pittsburgh, 125 DeSoto St, Pittsburgh, PA 15213 (Dr L. W. Young).

Am J Dis Child. 1984;138(11):1081-1083. doi:10.1001/archpedi.1984.02140490081021.

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ABSTRACT

ABSTRACT | REFERENCES

An 11-month-old male infant was referred with a six-month history of stridor and dysphagia. He had been treated for six months for "colds and allergies." No history that suggested foreign-body aspiration had been obtained.

The major physical examination findings were inspiratory and expiratory stridor and hyperextension of the neck. Posteroanterior and lateral chest roentgenograms showed a barely visible paratracheal abnormality and barium esophagram showed a nonobstructive upper esophageal filling defect. In retrospect, the paratracheal finding was present on roentgenograms taken six weeks earlier (Figs 1 and 2).

Denouement and Discussion

Stridor due to Radiotransparent Esophageal Foreign Body Esophageal endoscopy was performed (Fig 3). Attempts to remove the foreign body with flexible and rigid endoscopes were unsuccessful. The cervical portion of the esophagus was operatively explored and a metallic pull-tab (pop-top) from an aluminum beverage container was found impacted in the esophagus (Fig 4). Removal was successful and the patient recovered

REFERENCES

ABSTRACT | REFERENCES

Tauscher JW: Esophageal foreign body: An uncommon cause of stridor . Pediatrics 1978;;61: 657-658.

Newman DE: The radiolucent esophageal foreign body: An often forgotten cause of respiratory symptoms . J Pediatr 1978;;92:60-63.

Keating JP, Weldon CS, Connors JP, et al: The 'pop-top' tab: A cause of esophageal stenosis . J Pediatr 1975;;86:111-112.

Rogers LF, Igni JP: Beverage can pull-tabs: Inadvertent ingestion or aspiration . JAMA 1975;;233:345-348.

Burrington JD: Aluminum 'pop tops': A hazard to child health . JAMA 1976;;235:2614-2617.

Crenshaw RT: 'Pop top' ingestion: A technique for localization . JAMA 1977;;237:1928.

Dorst JP, Reichelderfer TE, Sanders RC: Radiodensity of the proposed new penny . Pediatrics 1982;;69:224-225.

Smith PC, Swischuk LE, Fagan CJ: An elusive and often suspected cause of stridor or pneumonia (the esophageal foreign body) . AJR 1974;;122:80-89.

Holinger PH, Johnston KC: The infant with respiratory stridor . Pediatr Clin North Am 1955;;2:403-411.

Pasquariello PS, Kean H: Cyanosis from a foreign body in the esophagus . Clin Pediatr 1975;;14:223-225.

Buckler JMH, Stool SE: Failure to thrive: An exogenous cause . AJDC 1967;;114:652-653.

Oberklaid F, Laundau LI: Stridor caused by a radiolucent foreign body in the esophagus . Med J Aust 1976;;1:455.

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