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Article
September 29, 1923

FOUR OPEN SAFETY-PINS IN THE ESOPHAGUS

Author Affiliations

Philadelphia

JAMA. 1923;81(13):1099-1100. doi:10.1001/jama.1923.26510130002009a

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Abstract

The problems of the quick and safe peroral, esophagoscopic removal of a safety-pin in the esophagus have been well worked out and established on a sound basis. The case here reported, however, presented heretofore unrecorded difficulties:

REPORT OF CASE  A boy, aged 9 months, was referred to Drs. Cornelius Coakley and W. F. Cunningham, with the history that on admission to the Southampton Hospital for a phimosis operation an open safety-pin had been found in the stools by the nurse. The mother stated that an older child had put a safety-pin in the patient's mouth. Roentgen-ray examination was promptly made for other safety-pins, and four, all open and all of a very large size, were found lodged in the esophagus (Figs. 1 and 2). They had probably been present for nearly two months.Esophagoscopy revealed that the pins were interlocked so that when the point of one was brought into

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