Sir.—Young children continue to explore their environment by placing representative samples of it in their mouths. The nature of the ingested foreign body often reflects society's current technology, such as ballpoint pen clips and aluminum "pop tops" from beverage cans. We report a new "state-of-the-art" foreign body—a spongelike miniature animal within a capsule that undergoes a dramatic transformation of size and shape when placed in a liquid medium, be it bath water, as intended by the manufacturer, or gastric juice, as chosen by the patient described in this report.
Patient Report.—A 2-year-old male child was suspected of swallowing an encapsulated foam sponge toy while bathing. The child showed no abnormal symptoms or signs on physical examination despite a careful search for upper airway obstruction, dysphagia, or abdominal pain. Despite the normal clinical examination, the parents insisted on further study; thus, a plain abdominal roentgenogram and an upper gastrointestinal
PORT RB, PAIGE ML, BERNSTEIN JR, ALVAREZ GR. The 'Altered States' Foreign Body. Am J Dis Child. 1986;140(10):972–973. doi:10.1001/archpedi.1986.02140240018011