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Ingested foreign body in young children.

C T Lim1, K K Loh

  • 1Dept of Otolaryngology, Singapore General Hospital.

The Journal of the Singapore Paediatric Society
|January 1, 1992
PubMed
Summary
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Diagnosing ingested foreign bodies in prelingual children requires high suspicion. This case highlights a two-year-old boy with a pharyngeal perforation and retropharyngeal abscess due to an undiagnosed foreign body.

Area of Science:

  • Pediatric Gastroenterology
  • Otolaryngology
  • Emergency Medicine

Background:

  • Ingested foreign bodies are common in adults, but pediatric cases represent 6.5% of all incidents.
  • Diagnosis is straightforward in communicative patients, but challenging in prelingual children.
  • A high index of suspicion is crucial for identifying foreign body ingestion in non-verbal children.

Observation:

  • A two-year-old boy presented with symptoms suggestive of an undiagnosed ingested foreign body.
  • The undiagnosed foreign body led to a pharyngeal perforation.
  • A subsequent retropharyngeal abscess developed.

Findings:

  • The case illustrates a delayed diagnosis of an ingested foreign body in a young child.
  • Pharyngeal perforation and retropharyngeal abscess were the severe complications.

Related Experiment Videos

  • The importance of early recognition and management in pediatric foreign body ingestion is emphasized.

    • Implications:

    • This case underscores the need for heightened clinical awareness in pediatric foreign body ingestion.
    • Prompt diagnosis and intervention are critical to prevent serious complications like perforation and abscess.
    • Management strategies for ingested foreign bodies in young children require careful consideration.