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04:55
Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
Transluminal migration of ingested foreign body without peritonitis.
Kendra Klein1, Walter Pegoli, Yi-Horng Lee
1Division of Pediatric Surgery, Department of Surgery, Golisano Children's Hospital, University of Rochester Medical Center, Rochester, NY 14642, USA.
Journal of Pediatric Surgery
|April 14, 2012
Summary
Transluminal migration of ingested foreign bodies into the peritoneal cavity can occur without causing peritonitis. Laparoscopy is effective for extracting these foreign objects, even without acute abdominal symptoms.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Abdominal Imaging
Background:
- Ingested foreign bodies rarely migrate through the gastrointestinal tract wall into the peritoneal cavity.
- Perforation typically presents as an acute abdomen, necessitating urgent surgical intervention.
Observation:
- Two cases of ingested foreign body transluminal migration into the peritoneal cavity were observed.
- Patients did not exhibit signs of peritonitis or an acute abdomen despite the presence of a foreign body.
Findings:
- Clinical and radiologic features of transluminal migration were documented.
- Laparoscopic surgery was successfully employed for the extraction of the foreign objects.
- The absence of acute abdominal symptoms in transluminal migration cases was a key observation.
Implications:
- Highlights a rare but non-acute presentation of foreign body complications.
- Suggests laparoscopy as a minimally invasive approach for managing such cases.
- Emphasizes the importance of considering transluminal migration in the differential diagnosis of non-acute presentations.
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