ACR Appropriateness Criteria® Ingested or Aspirated Foreign Body-Child

doi:10.1016/j.jacr.2025.12.013

ACR Appropriateness Criteria® Ingested or Aspirated Foreign Body-Child

2026-01-06

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Michael N. Clemenshaw

DOI：10.1016/j.jacr.2025.12.013

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Ingestion or aspiration of foreign bodies (FB) is a common reason for pediatric emergency department visits. Three variants were developed: 1) Variant 1 (suspect ingested or aspirated FB, initial imaging), neck, chest, abdomen, and pelvis radiographs are usually appropriate to identify the presence and location of a swallowed or inhaled FB. Low-dose noncontrast chest CT may also be appropriate when there is high suspicion for radiolucent FB; 2) Variant 2 (suspect ingested FB, initial radiographs negative, next imaging study), chest CT without contrast is usually appropriate, although fluoroscopic esophagram or CT abdomen and pelvis may be appropriate. If known ingested water beads, abdomen ultrasound may be helpful; 3) Variant 3 (suspect aspirated FB, initial radiographs negative, next imaging study), CT chest without contrast is usually appropriate, whereas decubitus chest radiographs and fluoroscopy studies are usually not appropriate.

ACR Appropriateness Criteria® Ingested or Aspirated Foreign Body-Child

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