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Swallowed foreign bodies in children: report of four unusual cases

T R Sai Prasad1, Y Low, C E Tan

  • 1Department of Paediatric Surgery, KK Women's and Children's Hospital, Singapore. trsai@rediffmail.com

Annals of the Academy of Medicine, Singapore
|February 14, 2006
PubMed

Insights

Sharp ingested foreign bodies in children often require endoscopic removal. Endoscopic retrograde cholangiopancreatography (ERCP) is effective for retrieval, but migration necessitates surgical intervention to prevent complications.

Area of Science:

  • Pediatric Gastroenterology
  • Minimally Invasive Surgery
  • Medical Device Technology

Background:

  • Ingested foreign bodies (FBs) are common in children.
  • Sharp or large FBs pose significant risks and often require intervention.
  • Endoscopic retrieval is preferred to avoid surgical complications.

Observation:

  • Four pediatric cases of swallowed sharp FBs (nail, dumbbell, safety pin, cushion pin) were analyzed.
  • Radiographs confirmed FB location in the stomach for all cases.
  • Most FBs were successfully retrieved endoscopically using various accessories.

Findings:

  • Endoscopic retrograde cholangiopancreatography (ERCP) successfully retrieved three sharp FBs.
  • One cushion pin migrated to the duodeno-jejunal junction, requiring open duodenotomy.
  • All patients recovered without complications post-procedure.

Implications:

  • Endoscopic accessories and techniques are crucial for safe FB retrieval in children.
  • Prompt intervention is necessary for FBs crossing the duodenum to prevent complications.
  • ERCP is a valuable tool, but surgical intervention may be required for migrated FBs.
Abstract

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