This case report is of a four-year-old otherwise healthy girl, who was presented to an ear, nose and throat department with salivation and suspected ingestion of a metallic pendant while falling asleep. An X-ray of the chest and upper neck confirmed the suspicion showing an approximately 2 × 2 cm foreign body shaped as a star located in the throat. In general anaesthesia, a metal necklace pendant was removed from the oesophagus mouth. The patient was released from hospital the day after surgery.

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