Esophageal ingested body in a child with calcified ligamentum arteriosum: a case report

Authors

  • Chiara Costantini Pediatric Surgery, University of Padua, 35128, Padua, Italy.
  • Giuseppe Minniti Cardiosurgery Unit, Ca' Foncello Hospital, 31100, Treviso, Italy.
  • Silvia Bertolo Radiology Unit, Ca' Foncello Hospital, 31100, Treviso, Italy.
  • Paola Midrio Pediatric Surgery Unit, Ca' Foncello Hospital, 31100, Treviso, Italy.

DOI:

https://doi.org/10.3941/jrcr.v16i8.4518

Keywords:

Foreign body, ligamentum arteriosum, ductus arteriosus, calcified ligamentum arteriosum, aortopulmonary window

Abstract

The calcification of ligamentum arteriosum occurs after the normal closure of the ductus arteriosus. Foreign body ingestion is a common event in the pediatric age, and it is frequently addressed in the Emergency Room. We report a case of foreign body in a patient with unknown calcification of the ligamentum arteriosum. His parents noted blood in the saliva, but he had no symptoms indicative of an acute clinical situation. The CT showed a hyperdense object in the aorto-pulmonary window with features compatible with a metallic object. The child underwent surgery, during which a calcified ligamentum arteriosum was found and no foreign body. This phenomenon has been described to be better identified using multi-section CT scans than X-Rays.

Published

2022-08-31

Issue

Section

Pediatric Radiology