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Published on: September 11, 2018
Foreign body ingestion causing gastric and diaphragmatic perforation in a child
1Paediatric Surgical Unit, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK. briceantao@doctors.org.uk
Insights
Foreign body ingestion in children is common, but gastrointestinal perforation is rare. This case highlights an eyeliner pencil perforating the stomach and diaphragm, leading to empyema.
Area of Science:
- Pediatric Gastroenterology
- Surgical Case Reports
- Foreign Body Ingestion
Background:
- Foreign body ingestion is a frequent pediatric emergency.
- Most ingested items traverse the gastrointestinal tract without complication.
- Gastrointestinal perforation is an exceptionally rare outcome.
Observation:
- A child ingested an eyeliner pencil.
- The foreign body perforated the stomach and diaphragm.
- This perforation resulted in the development of empyema.
Findings:
- The case demonstrates a rare complication of foreign body ingestion.
- Successful management involved addressing the perforation and empyema.
- Clinical presentation and diagnostic challenges are discussed.
Implications:
- Highlights the need for vigilance in pediatric foreign body ingestion cases.
- Emphasizes the potential for severe complications even with seemingly inert objects.
- Informs clinical practice regarding the diagnosis and management of rare gastrointestinal perforations.
Abstract:
Foreign body ingestion is a common problem in children. Most ingested foreign bodies pass through the gastrointestinal tract without difficulty once they reach the stomach. Perforation of the gastrointestinal tract very rarely occurs. This case report discusses the clinical presentation and management of a very unusual case of an eyeliner pencil ingested by a child that perforated the stomach and diaphragm, causing empyema.
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