foreign body ingestion
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2021 ◽  
Author(s):  
Alaa Ghallab ◽  
Alexander Wilkson ◽  
Rajio Daniel

Abstract BackgroundForeign body ingestion is common in children. Ingestion of multiple magnetic foreign bodies poses a significant risk of complications as they are unlikely to pass spontaneously. Case presentationWe present our interesting case of a 5 Year old girl, complaining of right iliac fossa pain not relieved with paracetamol, associated with 2 episodes of vomiting and one episode of loose bowel motion. Abdominal examination revealed tender right iliac fossa with weak rebound and mild guarding with no rigidity. WBC was 16.9, with 12.68 neutrophils, with normal urea, creatinine, amylase, CRP and liver function tests. Patient was admitted for suspected appendicitis versus gastroenteritis. Abdominal ultrasound showed free fluid in the pelvis, appendix was not seen and there was a mass in the right iliac fossa. The patient was started on intravenous co-amoxiclav and diagnostic laparoscopy revealed a normal appendix with free fluid in pelvis. The omentum was stuck to terminal ileum with two necrotic patches and a perforation in the terminal ileum with magnetic foreign bodies protruding from the perforation site.There was no peritoneal contamination. Laparotomy was performed via right lower transverse incision with resection & anastomosis of necrotic perforated bowel segment and removal of three magnetic foreign bodies from the terminal ileum. Patient had smooth postoperative recovery. ConclusionThe Ingestion of multiple magnets, or a magnet with a metallic object should be considered an impending surgical emergency as it is unlikely to pass spontaneously and complications are more likely. There are no reports where more than one magnet was passed spontaneously. The possibility of foreign body ingestion should always be considered in a young child presenting with abdominal symptoms. Early intervention is indicated if the history, clinical findings and imaging are suggestive of multiple magnetic ingestion to prevent serious life threatening complications.


Cureus ◽  
2021 ◽  
Author(s):  
Michael A Craig ◽  
Carl Kay ◽  
Thomas B Wells ◽  
Maurice C Barnes

Children ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. 1182
Author(s):  
Antonio Gatto ◽  
Lavinia Capossela ◽  
Serena Ferretti ◽  
Michela Orlandi ◽  
Valeria Pansini ◽  
...  

Ingestion of foreign bodies is a frequent pediatric cause of access to the Emergency Department (ED). The aim of this study was to determine the epidemiological and clinical features of pediatric patients with a diagnosis of foreign body ingestion and to identify the factors associated with an urgent invasive procedure or hospitalization. This is a retrospective study conducted on a population of 286 pediatric patients (0–17 years) evaluated for foreign body ingestion at the Pediatric ED of “Fondazione Policlinico Universitario A. Gemelli, IRCSS” between October 2014 and June 2019. Data concerning age and gender, underlying diseases, type of foreign body, symptoms and signs, instrumental tests, specialist visits, treatment and outcome were analyzed. The majority of foreign bodies were coins (23%). Symptoms recurred in 50% of the foreign bodies with esophageal localization and between the 92 (32%) patients with symptoms the most common was vomiting (7%). X-rays was performed in 61% of patients. Among all patients, 253 patients (88.8%) had been discharged, 21 (7%) had been hospitalized, and four (1.4%) were sent to an outpatient facility. Besides, 17 (5.9%) patients had been transferred to the Observation Unit. Of the hospitalized patients (21 (7.3%)), clinical observation was performed for 57% and endoscopic procedure for 45%. Our data confirm that the ESPGHAN-ESGE guidelines application prevents interventions that are not necessary, avoiding diagnostic and therapeutic delays.


Author(s):  
Manal Dhaiban ◽  
Naomi Festa ◽  
Hemanshoo Thakkar ◽  
Paolo De Coppi

Cureus ◽  
2021 ◽  
Author(s):  
Raghad K Alsalamah ◽  
Abdulaziz K Alaraifi ◽  
Abdulaziz A Alsalem ◽  
Khurram Waheed

2021 ◽  
Author(s):  
Luke Hanna ◽  
Nina-Joyce Shehata ◽  
Tracie Jarvis ◽  
Fergus Thursby-Pelham ◽  
Sharmila Subramaniam

Foreign body ingestion is a regular medical referral. Patients present with different objects such as chicken bones, nails, coins, and fishbones. It is usually managed in causality and passes without any intervention. However, occasionally, we come across fishbone complications requiring intervention. We discuss the course and management of two case reports of fishbone injuries in different abdominal regions.


2021 ◽  
Vol 116 (1) ◽  
pp. S1354-S1354
Author(s):  
Lucia Rivera Matos ◽  
Mohammad El-Saied ◽  
Jennifer Bereckis Jacobucci ◽  
Georgia Lymberopoulos ◽  
Susan Rowan ◽  
...  

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