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Reminder of important clinical lesson
An unusual cause of vomiting in a child
  1. Mukta Mahajan1,
  2. Vidhyachandra Gandhi2,
  3. Aabha Nagral3
  1. 1Department of Radiodiagnosis, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India
  2. 2Department of Gastrointestinal Surgery, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India
  3. 3Department of Gastroenterology, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India
  1. Correspondence to Aabha Nagral, aabhanagral{at}gmail.com

Summary

The authors report the case of a 13-month-old male child who presented with sudden onset vomiting and refusal to take solid food. Barium swallow and CT scan of the chest were inconclusive. The cause of symptoms was only evident more than a month later on endoscopy, which revealed an unusual flower-shaped foreign body impacted in the cervical oesophagus. This was successfully removed, and review of imaging made the diagnosis obvious in retrospect. This report is to emphasise the importance of considering the possibility of foreign body ingestion with unusual sudden onset symptoms and vigilant interpretation of findings on imaging studies, especially in the paediatric population.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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