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Ileal perforation induced by a wire from a metal scouring pad in an infant

Jung Lee1, Hsun-Chin Chao, Yung-Ching Ming

  • 1Pediatric Critical Care and Emergency Medicine, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.

Pediatric Emergency Care
|April 7, 2011
PubMed

Insights

A 1-year-old boy ingested a scouring pad wire, leading to ileal perforation and shock. This case highlights the risks of ingesting metal fragments and the need for foreign body consideration in pediatric GI perforations.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Emergency Medicine

Background:

  • Foreign body ingestion is frequent in children.
  • Gastrointestinal perforation in infants requires prompt diagnosis and management.

Observation:

  • A 1-year-old boy presented with abdominal distention and shock.
  • Laparotomy revealed an ileal perforation.

Findings:

  • The perforation was caused by a wire from an ingested aluminum scouring pad.
  • This is the first reported case of a scouring pad-related gastrointestinal perforation.

Implications:

  • Ingesting metal scouring pad fragments poses a significant danger.
  • Foreign body impaction should be considered in pediatric gastrointestinal perforation cases.

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