Doctors found 28 of these in a woman's oesophagus

The foreign bodies were missed on first presentation and led to fatal aspiration pneumonia

When a woman returned to ED with a worsening cough, her chest CT wasn’t exactly a picture of health, revealing 28 crayons lodged in her oesophagus.

The non-verbal patient had initially presented to hospital after a choking episode with persistent cough. Her medical history was significant for mental retardation and dysphagia.

Doctors had originally missed the foreign bodies, noting only a mild pulmonary opacity on X-ray and discharging her with antibiotics.

However, she re-presented with symptoms