{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T19:56:17Z","timestamp":1772999777361,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Foreign body aspiration (FBA) is a common pediatric emergency. Sharp objects, such as pins, pose a unique risk of perforation and migration. Differentiating aspiration from ingestion can be challenging when symptoms and radiological findings overlap, particularly for objects lodged in the mediastinum\u2014a \u201cmediastinal dilemma.\u201d We present two cases of sharp FBA in school\u2010aged children. Case 1: A 10\u2010year\u2010old girl presented with acute chest pain after inhaling a headscarf pin. Chest X\u2010ray showed a mediastinal radio\u2010opaque shadow, creating a diagnostic dilemma. Sequential endoscopy (negative esophagoscopy followed by rigid bronchoscopy) confirmed and removed the pin from the left main bronchus. Case 2: A 14\u2010year\u2010old boy presented with delayed hemoptysis 2\u2009months after aspirating a sewing needle. Initial rigid bronchoscopy was unsuccessful, necessitating flexible bronchoscopy for retrieval from the peripheral left upper lobe. These cases highlight that sharp FBA can occur in older children and may present with atypical, delayed symptoms. The mediastinal location on radiography often blurs the line between aspiration and ingestion. A high index of suspicion is paramount. The choice of endoscopic technique (rigid vs. flexible) must be tailored to the foreign body's location and nature. This series underscores the need for heightened awareness of this preventable hazard, particularly regarding the risk of holding objects between the lips.<\/jats:p>","DOI":"10.1002\/ccr3.71844","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T07:11:04Z","timestamp":1769497864000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Diagnostic Challenge of Sharp Foreign Body Aspiration in Children: A Two\u2010Case Series Highlighting Ingestion vs. Aspiration"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1884-8486","authenticated-orcid":false,"given":"Seyed Javad","family":"Seyedi","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Akbar Hospital Mashhad University of Medical Sciences  Mashhad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Mohammadipour","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Akbar Hospital Mashhad University of Medical Sciences  Mashhad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6490-8961","authenticated-orcid":false,"given":"Amin","family":"Saeidinia","sequence":"additional","affiliation":[{"name":"Pediatric Department, Faculty of Medicine Mashhad University of Medical Sciences  Mashhad Iran"},{"name":"Pharmaceutical Research Division, Booali Research Center Mashhad University of Medical Sciences  Mashhad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181ef3e9c"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00391-8"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.78.921.399"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.105060"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2022.05.006"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2012.07.036"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ped.14269"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1052-3359(25)00826-9"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2006.10.020"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2017.06.137"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71844","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.71844","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71844","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:22:33Z","timestamp":1772990553000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.71844"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,26]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/ccr3.71844"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.71844","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,26]]},"assertion":[{"value":"2025-10-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71844"}}