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Updated: May 23, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
Management of nonprogressive sharp foreign body in a two year old
Prasad M Bhukebag1, Amita Sen, Shilpa Sharma
1Department of General and Minimally Invasive Surgery, Dr Ram Manohar Lohia Hospital, New Delhi, India.
Foreign body ingestion in children is common. A 2-year-old boy with an ingested metallic nail, which did not pass spontaneously after 15 days, required emergency surgery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Emergency Medicine
Background:
- Foreign body (FB) ingestion is a frequent pediatric concern with potential complications.
- Delayed spontaneous passage of ingested FBs can lead to adverse outcomes.
Observation:
- A 2-year-old boy presented with a metallic nail ingested 15 days prior.
- The patient remained asymptomatic, and the FB had not passed spontaneously.
Findings:
- Surgical intervention via emergency laparotomy was necessary for FB removal.
- This case highlights a metallic nail failing to pass spontaneously after 15 days, exceeding the typical 3-day observation period.
Implications:
- Timely surgical intervention is crucial for pediatric foreign body ingestion when spontaneous passage is not observed.
- This case underscores the importance of vigilant monitoring and prompt management in pediatric FB ingestion scenarios.
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