Esophageal perforation caused by coin ingestion

South Med J. 1994 Feb;87(2):269-72. doi: 10.1097/00007611-199402000-00026.


Esophageal perforation and acquired tracheoesophageal fistulae (ATEF) are rare sequelae of foreign body ingestion in the pediatric population. Here we discuss the cases of two patients with esophageal perforation caused by prolonged impaction of a coin; in one case, a tracheoesophageal fistula developed. The presence of aerodigestive symptoms and signs in infants and small children should prompt physicians to consider foreign body ingestion and the presence of an ATEF. Clinical presentation, diagnostic modalities, and technical considerations for surgical management are outlined.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Esophageal Perforation / diagnostic imaging
  • Esophageal Perforation / etiology*
  • Esophageal Perforation / surgery
  • Foreign-Body Reaction / diagnostic imaging
  • Foreign-Body Reaction / physiopathology*
  • Foreign-Body Reaction / surgery
  • Humans
  • Male
  • Radiography
  • Tracheoesophageal Fistula / diagnostic imaging
  • Tracheoesophageal Fistula / etiology*
  • Tracheoesophageal Fistula / surgery