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September 1963

Iatrogenic Foreign Body in Esophagus: Two Case Reports

Author Affiliations

Gertrude A. Bales, MD, Strong Memorial Hospital, Rochester, NY.; From the Department of Surgery and Division of Otolaryngology, University of Rochester School of Medicine and Dentistry. Assistant Professor of Otolaryngology (Dr. Bales); Assistant in Otolaryngology (Dr. Yarington).

Am J Dis Child. 1963;106(3):304-305. doi:10.1001/archpedi.1963.02080050306009

In the practice of medicine many diagnostic tests are performed to aid in diagnosis and treatment of diseases. Nose and throat physician was bitten and the swab was swallowed. X-rays (Fig 2) taken immediately showed the swab with the free end lodged in the midesophagus, while cultures are probably one of the most frequent tests done by all physicians.

Several years ago a flexible braided wire swab (Fig 1) was designed at this medical center by Dr. William L. Bradford, Professor of Pediatrics. Time has proven the effectiveness of such a swab for obtaining nasopharyngeal cultures in children. The following cases are reported to demonstrate an unusual hazard accompanying the use of nasopharyngeal swabs.

Reports of Cases  Case 1.—A 12-month-old Negro boy was seen in the emergency room with a three-day history of fever, sore throat, anorexia, stuffy nose, and cough. Physical examination showed an infected pharynx, inflammed tonsils, and

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