scholarly journals A retrospective clinical study and management of ingested Indian currency coin found in the oesophagus among paediatric age group

Author(s):  
Sudhakar Rao M. S. ◽  
Deepak Karade

<p class="abstract"><strong>Background:</strong> Foreign body ingestion is a common event in children and carries significant morbidity and mortality. Indian currency coins are found to be the common ingested foreign bodies hence, to be treated accordingly.</p><p class="abstract"><strong>Methods:</strong> A 7 years retrospective review of 133 children diagnosed, admitted and managed for “ingested Indian currency coin” between January 2011 to December 2017 in the Department of Oto-rhino-laryngology and Head and Neck surgery, Vijayanagar Institute of Medical Sciences, Ballari, Karnataka, India. A plain radiograph of the relevant views of neck and chest were taken to identify the foreign body.  </p><p class="abstract"><strong>Results:</strong> There were 80 (60.2%) males and 53 (39.8%) females, ranging in age from 6 months to 15 years. Most of the patients 98 (73.7%) presented within 12 hours of the coin ingestion. 109 patients presented with one or more symptoms, common being vomiting 83 (62.4%). Coin was located mostly at the cricopharynx 111 (83.5%). Coin removal was possible using Macintosh laryngoscope and Magill’s forceps in 106 (79.7%) patients, and 27 (20.3%) patient’s required rigid oesophagoscope.</p><p class="abstract"><strong>Conclusions:</strong> Indian currency coin ingestion is commonly found in cricopharyngeal area of the oesophagus among preschool age group. The duration of retention of the foreign body, procedural time, hospital stay of the patient, diameter of the coin in both the genders have no impact on clinical outcome on retrieval of them.</p>

Author(s):  
M. U. Ibekwe ◽  
Paul Ni

Background: The paediatric age group has very peculiar anatomic and physiologic airways therefore, obstruction which commonly occurs in this population, can pose serious challenges in this age group. Aim: To study the pattern and aetiology of acute upper airway obstruction in the paediatric age group in University of Port Harcourt teaching hospital and to determine the place of tracheostomy in the management. Patients and Methods: It is a descriptive hospital based study of all paediatric patients; aged 0-15 years with upper airway obstruction that presented to the ear, nose and throat department and the children emergency ward of university of Port Harcourt teaching hospital within the period of January 2014 to December 2019. Data on demographics, clinical presentations, causes and management were obtained using a Proforma. The diagnosis of upper airway obstruction is made in a child with any degree of respiratory difficulty with or without associated stridor or stertor arising from lesions above the thoracic inlet. Children with respiratory difficulty other than that from an upper airway obstruction were excluded from the study. Data obtained were analyzed with the IBM statistical package for social sciences SPSS version 20. Results were presented in simple descriptive forms with tables. Results: One hundred and sixty paediatric patients with upper air way obstruction with age ranging from 0-15 years were studied. The prevalence of upper airway obstruction was 1.87%. There were more males than females; male to female ratio was 1.2:1. Age group 4-7 years were the most affected, 43.75%. Foreign body aspiration was the commonest cause. Majority of the patients had tracheostomy done, 48.75%. Mortality was n=1(0.625%). Conclusion: Upper air way obstruction among the paediatric age group is still common with foreign body aspiration as a very important cause in our setting. The very young are the most affected and tracheostomy appears to still be the main option of securing airway in these cases in our environment.


2021 ◽  
Vol 48 (1) ◽  
pp. 39-42
Author(s):  
Ahmad B Kumo ◽  
Manko Muhammad ◽  
Habib Balarabe

Ingestion of foreign body occurs commonly in the paediatric age group particularly between 6 months and 5 years of age.1 Most ingested foreign objects pass smoothly through the oesophagus, into the stomach and are expelled from the body without complications. However, 10% –20% will require endoscopic removal to avoid complications. We present the endoscopic removal of a peg pin in the duodenum of a four-year-old child.


2016 ◽  
Vol 7 (5) ◽  
pp. 35 ◽  
Author(s):  
Aditya Pratap Singh ◽  
Vinay Mathur ◽  
Ramesh Tanger ◽  
Arun Kumar Gupta ◽  
Ayush Kumar

Paediatric age group is most vulnerable for the accidental foreign body (FB) ingestion which may go unnoticed. These patients present with symptoms or complications as a result of FB and may mimic other conditions on various investigations. We describe a 9-month old infant who ingested crystal gel ball and presented with vomiting for a month. On radiological imaging it was interpreted as duplication cyst of the duodenum. At operation, crystal gel ball was retrieved. Our case vindicates importance of keeping various possibilities in mind as differential diagnoses during evaluation and management of surgical ailments such as the duplication cyst of duodenum.


2018 ◽  
Vol 7 (04) ◽  
pp. 548-549
Author(s):  
Pankaj Kumar Saunakiya ◽  
Satendra Rajput ◽  
Santosh Kumar Saroj ◽  
Santvir Singh ◽  
Rajkumar Verma

2013 ◽  
Vol 1 (1) ◽  
pp. 26-27
Author(s):  
RN Khadgaray

General anaesthesia for emergency bronchoscopy is Frought with dangers especially in paediatric age group where inhalation of foreign bodies are common especially where respiratory obstruction is present and management becomes perilous. DOI: http://dx.doi.org/10.3126/jucms.v1i1.8419   Journal of Universal College of Medical Sciences Vol.1(1) 2013:  26-27


2020 ◽  
Vol 16 (3) ◽  
pp. 325-328
Author(s):  
Aranjit Singh Randhawa ◽  
◽  
Norhafiza Mat Lazim ◽  
Khairul Bariah Noh ◽  
Irfan Mohamad ◽  
...  

Foreign body in the tracheobronchial tree is an emergency commonly affecting the paediatric age group. A delay in diagnosis and removal may cause high morbidity and mortality. We report a case of a 1-year-6-month-old presenting with multiple peanuts aspirated into both lungs, ultimately resulting in death due to cardiopulmonary complications. The aim of the case report is to highlight the importance of thorough history-taking from parents, intraoperative suspicion of more than a single aspirated foreign body, and meticulous measurements taken to minimise extraction time.


2015 ◽  
Vol 8 (3) ◽  
pp. 127-129
Author(s):  
Soumyajit Das ◽  
Suvamoy Chakraborty ◽  
Subhasish Mukherjee

ABSTRACT Objective To highlight the occurrence of unusual foreign bodies in the nasopharynx in the pediatric age group. Introduction Foreign bodies are common in ENT practice universally. At times they may present as emergency requiring urgent intervention and many a times they go unnoticed as these are not suspected. Nasopharyngeal foreign bodies are rare in any age group. Case Report A 10 months old female child was brought with the history of persistent drooling of saliva and refusal to feed after accidental ingestion of a bunch of stapler pin. Plain radiograph showed a bunch of stapler pin in the nasopharynx with enlarged adenoid tissue and prevertebral soft tissue shadow. Conclusion Bunch of stapler pin is an unusual foreign body in the nasopharynx. Care should be taken while removing these foreign bodies. Digital manipulation for removal of such foreign bodies are hazardous and should be avoided at all cost. How to cite this article Das S, Chakraborty S, Mukherjee S. A Bunch of Stapler Pin: An Unusual Nasopharyngeal Foreign Body. Clin Rhinol An Int J 2015;8(3):127-129.


2021 ◽  
Vol 8 (9) ◽  
pp. 2807
Author(s):  
Bijit B. Medhi ◽  
P. D. Gupta ◽  
Fahad Tauheed ◽  
Vikram Singh Chauhan

Admittance in the emergency room with complaints of acute abdominal pain is a common scenario. Patients who see the doctor due to foreign object ingestion present transitory symptomatology. In most cases, foreign object ingestion in adults is accidental, although it may be linked to physiological, anatomical, mechanical, social and psychiatric factors. The frequency of voluntarily ingested objects is higher among children and teenagers than in any other age group. Few people go to the doctor because of persistent clinical manifestations or secondary manifestations of previous complications. In most cases, the foreign body is found incidental to another medical procedure. Here we report a case of small bowel perforation due to ingestion of a sharp foreign body in a 2 years old child. We further elaborate that how, in paediatric age group these conditions are frequently misdiagnosed and usually present late to us. Hence, the increasing need and importance of a thorough pre-op workup, especially in the pediatric age group.


Author(s):  
Nikma Fadlati Binti Umar ◽  
Ramiza Ramza Ramli

<p class="abstract">Foreign body nose commonly seen in paediatric age group. In mentally disable patient this may occur and become asymptomatic for many years. We reported mentally disable patient presented with massive epistaxis and history of multiple episodes of foul-smelling discharge from his right nose for the past 20 years. After epistaxis resolved during nasal endoscopy noted impacted rhinolith foreign body in between the septum and the right middle turbinate. Rhinolith successful removed using bent tip of Jobson-Horne probe in otorhinolaryngology, head and neck clinic.</p>


2019 ◽  
Vol 7 (3) ◽  
pp. e000137
Author(s):  
Geng Ju Tuang ◽  
Nik Roslina Nik Hussin ◽  
Zainal Azmi Zainal Abidin

Unilateral rhinorrhoea in the paediatric age group could be an alarming sign that warrants a clinician attention. These patients are routinely brought to see general practitioner as parents may not be aware of the urgency to intervene surgically. Herein we describe a case of a toddler who presented initially to a general practitioner with unilateral nasal discharge. He was subsequently referred to the otorhinolaryngology department for unresolved rhinitis. The child was examined, and the diagnosis of an embedded foreign body was made. X-ray of the paranasal sinus unveiled an embedded button battery. An emergency endoscopic retrieval of the button battery was performed under general anaesthesia. Unfortunately, the case was complicated with a huge septal perforation.


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