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Duodenocolic fistula due to safety pin ingestion

Ali Cay1, Mustafa Imamoğlu, Haluk Sarihan

  • 1Department of Pediatric Surgery, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey.

The Turkish Journal of Pediatrics
|June 25, 2004
PubMed

Insights

A 16-month-old boy developed a duodenocolic fistula from ingesting a safety pin, causing abdominal pain and weight loss. Prompt surgical intervention is crucial for favorable outcomes in such pediatric cases.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Foreign Body Ingestion

Background:

  • Foreign body ingestion is a common pediatric emergency.
  • Benign duodenocolic fistula is a rare complication, often resulting from ingested sharp objects.
  • Safety pin ingestion can lead to significant gastrointestinal morbidity.

Observation:

  • A 16-month-old boy presented with symptoms of abdominal pain, diarrhea, and weight loss.
  • Clinical examination and diagnostic imaging revealed a benign duodenocolic fistula.
  • The fistula was attributed to the ingestion of a safety pin.

Findings:

  • The case highlights the diagnostic challenges associated with unusual foreign body complications.
  • Endoscopic or surgical evaluation is essential for accurate diagnosis.
  • Successful surgical management led to the resolution of symptoms.

Implications:

  • Early diagnosis and surgical management of duodenocolic fistulas are critical to prevent severe complications.
  • This case underscores the importance of considering foreign body ingestion in pediatric patients with unexplained gastrointestinal symptoms.
  • Reviewing the literature on similar cases can improve clinical decision-making and patient outcomes.

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