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An unusual gastric foreign body.
N A Muñoz1, H Takehara, T Hashimoto
1First Department of Surgery, School of Medicine, University of Tokushima, Japan.
Acta Paediatrica Japonica : Overseas Edition
|August 1, 1991
Summary
A 9-month-old boy swallowed an earring, which became lodged in his stomach. Early endoscopic examination is recommended for retained foreign bodies in children to prevent complications.
Area of Science:
- Pediatric Gastroenterology
- Foreign Body Ingestion
- Gastrointestinal Complications
Background:
- Foreign body ingestion is a common pediatric emergency.
- Most ingested foreign bodies pass through the gastrointestinal tract without issue.
- Complications can arise from lodged foreign bodies, necessitating intervention.
Observation:
- A 9-month-old infant ingested a small, closed earring.
- Radiologic imaging confirmed the earring's location within the stomach.
- Endoscopic removal attempts were unsuccessful.
Findings:
- Surgical exploration revealed the earring lodged in the pyloric ring.
- Erosion of the gastric mucosa by the earring caused firm anchoring.
- The unique impaction prevented further gastrointestinal passage.
Implications:
- Prompt endoscopic evaluation is crucial for retained gastric foreign bodies in children.
- Unusual impaction mechanisms can lead to gastrointestinal complications.
- Timely diagnosis and intervention can prevent serious adverse outcomes.