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Management of simultaneously ingested and aspirated foreign bodies in an infant

Jamshed Akhtar1, Aqil Soomro, Farhat Mirza

  • 1Department of Paediatric Surgery, Surgical Unit B, National Institute of Child Health, Karachi. jamjim88@yahoo.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|October 4, 2005
PubMed

Insights

A 7-month-old baby successfully passed ingested paper pins naturally after a bronchoscope removed an aspirated pin. This case highlights safe, conservative management for pediatric foreign body ingestion and aspiration.

Area of Science:

  • Pediatric Gastroenterology
  • Pediatric Otolaryngology
  • Foreign Body Aspiration and Ingestion

Background:

  • Foreign body ingestion and aspiration are common emergencies in pediatrics.
  • Paper pins present a unique challenge due to their small size and potential for airway or gastrointestinal lodging.

Observation:

  • A 7-month-old infant presented after aspirating one and ingesting two paper pins.
  • The aspirated pin was removed via bronchoscopy.
  • The ingested pins were managed conservatively with observation for spontaneous passage.

Findings:

  • The ingested paper pins passed spontaneously through the gastrointestinal tract within 48 hours.
  • No complications or adverse events were noted during the observation period.
  • Successful conservative management of ingested foreign bodies in pediatric patients.

Implications:

  • This case supports a conservative approach for ingested foreign bodies when aspiration has been ruled out or managed.
  • Endoscopic removal should be considered for aspirated foreign bodies.
  • Highlights the importance of careful monitoring for spontaneous passage of ingested foreign bodies in infants.

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