A coin is loaded in the esophagus of an asymptomatic 3 years female child, treatment is:: (A) Endoscopic removal after 24 hours, (B) Immediate endoscopic removal, (C) Wait for 48 hours, (D) Dislodge the coin to the stomach by inseing Ryle's tube
Answer is A. Asymptomatic blunt objects and coins can be observed for up to 24 hr anticipating passage into the stomach. If they still remain lodged in the esophagus, endoscopic removal is warranted. Sharp objects, disk button batteries, or foreign bodies associated with respiratory symptoms require urgent removal.