“LEGO®Man” Creates Asymptomatic Persistent Esophageal Foreign Body Identifiable On Barium Esophageal

Pediatricians and emergency room specialists are routinely faced with the challenge of management of young patients who are suspected to have accidentally swallowed foreign objects. These objects can become a pathologic esophageal or airway foreign body. The persisting esophageal foreign body, one that does not pass spontaneously through the gastrointestinal tract, is suspected based on patient history and clinical symptoms. These often include regurgitation, drooling and unrelenting discomfort worsened by attempts to swallow. However, there are times when persisting esophageal foreign body is asymptomatic. This report describes the utility of using a contrasted esophagram in identifying the presence of a large but asymptomatic persistent radiolucent esophageal foreign object, a ‘‘Lego Man’’.