The safety-pin, commonly present as a foreign body, is more often found in the food passages than elsewhere and practically always is open. In my personal experience, of over 825 foreign bodies removed endoscopically, 77 were safety-pin. In 59 cases the pin was removed from the food passages; in the remaining 18 it had lodged in the air passages. The removal of an open pin with the point directed upward, a type of foreign body usually found in an infant or child, constitutes a problem that is often difficult of solution and fraught with hazardous possibilities. Of the 59 foreign bodies removed endoscopically from the food passages, 1 lodged in the sigmoid flexure, where it remained for sixty-four days before removal by peranal endoscopy. This case is not included in the following analysis.
ANALYSIS OF CASES AND COMMENT
Age.—All but 3 of the patients were children under 6 years of
CLERF LH. SAFETY-PIN IN THE ESOPHAGUS. Arch Otolaryngol. 1936;24(3):282–288. doi:10.1001/archotol.1936.00640050292002