Multiple foreign body aspiration

Description

A baby girl aged 3 years 8 months presented 8 months earlier with a history of cough and tight chest for 3 days prior to admission. On chest examination, the child had bilateral wheezing, was mildly distressed and had reduced air entry on the right side over the middle and lower zone. Chest X-ray demonstrated a round object in the oesophagus, but also collapse of the right middle and lower lobes (figure 1A). A metal washer was removed from the oesophagus at the cricopharyngeal level with a rigid scope. The child was then admitted postoperatively to paediatric intensive care unit for aspiration pneumonia. Considerable oesophageal mucosal inflammation was present at the site of the foreign body with no associated perforation. Contrast study performed at that stage demonstrated some narrowing of the oesophagus which did not need dilatation (figure 1B). Eight months later, she presented with...

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