An Unexpected Airway Obstruction

A 14-year-old boy presents with Hoarseness after swallowing a coin. Explore the diagnosis, management, and indications for urgent removal of an airway foreign body.

Ingestion of an object less than 5cm in length


A healthy 14-year-old boy presented with a 6-hour history of hoarseness and difficulty swallowing after accidentally swallowing a coin. On physical examination, the patient was breathing comfortably without stridor or drooling. Radiographs of the chest (left, posteroanterior view) and neck (right, lateral view) showed a rounded radiopaque foreign object situated vertically within the subglottis. Which of the following is NOT an indication for urgent removal for this diagnosis?

What is the most likely diagnosis?

Evidence of near-complete esophageal obstruction
Ingestion of an object less than 5cm in length
Ingestion of sharp object
Ingestion of a high-powered magnet or magnets
Signs of airway compromise

Foreign-body Aspiration, Ingestion of an object less than 5cm in length, Pediatric Emergency, Rigid Bronchoscopy, Subglottic Foreign Body

Leave a Comment