A previously healthy 2 year old female toddler was brought to the emergency department with a history
of severe hematemesis. Posterior-Anterior (PA) and lateral chest radiographs demonstrated a round
radio-opaque object (approximately the size of a U.S. quarter coin) in the esophagus (figure 1). A
pediatric surgeon was consulted for endoscopic removal of the foreign body, but the child’s condition
deteriorated rapidly and despite full resuscitative efforts, the child demised before the foreign object
could be removed.