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Complications of coin ingestion in children, although rare, include esophageal perforation, tracheoesophageal fistula, esophago-aortic fistula, and death. Th e authors describe thoracoscopic removal of a mediastinal coin that migrated ext raluminally from the esophagus in a 23-month-old girl. Right-sided thoracoscopic exploration using a 3-trocar technique in a modifi ed prone position was used. Coin location was assisted by manipulation of a tran sorally placed Foley catheter and intraoperative fluoroscopy. The coin was retri eved successfully with no intraoperative or postoperative complications and mini mal postoperative pain. This is the first report of successful thoracoscopic rem oval of a mediastinal coin. Thoracoscopy may be a valuable approach for mediasti nal foreign body removal in children.
Complications of coin ingestion in children, although rare, include esophageal perforation, tracheoesophageal fistula, esophago-aortic fistula, and death. Th e authors describe thoracoscopic removal of a mediastinal coin that migrated ext raluminally from the esophagus in a 23-month-old girl Right-sided thoracoscopic exploration using a 3-trocar technique in a modifi ed prone position was used. Coin location was assisted by manipulation of a tran sorally placed Foley catheter and intraoperative fluoroscopy. The coin was retri eved successfully with no intraoperative or postoperative complications and mini mal postoperative pain. This is the first report of successful thoracoscopic rem oval of a mediastinal coin. Thoracoscopy may be a valuable approach for mediasti nal foreign body removal in children.