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Open safety pin ingestion presenting as incarcerated umbilical hernia

Bilal Mirza1, Afzal Sheikh

  • 1Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health Lahore, Pakistan.

APSP Journal of Case Reports
|September 7, 2012
PubMed

Insights

Sharp foreign body ingestion in infants can cause serious complications. A safety pin lodged in an umbilical hernia required surgical removal to prevent bowel damage.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Foreign Body Ingestion

Background:

  • Foreign body ingestion is a frequent pediatric emergency.
  • Sharp objects pose significant risks, including gastrointestinal perforation and complications.
  • Umbilical hernias in infants can sometimes present with unusual entrapments.

Observation:

  • An 8-month-old infant presented with an incarcerated umbilical hernia, raising concerns for strangulation.
  • Surgical exploration revealed a loop of ileum trapped within the umbilical defect.
  • The incarcerated ileum showed a safety pin protruding from its lumen.

Findings:

  • The safety pin had pierced through the wall of the ileum, entering the bowel lumen.
  • Surgical intervention involved freeing the incarcerated ileum and performing an enterotomy.
  • The foreign body, a safety pin, was successfully removed from the infant's bowel.

Implications:

  • This case highlights the potential for ingested sharp foreign bodies to cause severe intra-abdominal injury, even when presenting as a seemingly localized issue like an umbilical hernia.
  • Early surgical diagnosis and intervention are crucial for managing complications arising from incarcerated hernias with foreign body involvement.
  • Illustrates the importance of considering unusual presentations of foreign body ingestion in pediatric surgical emergencies.

Keywords:
Intestinal perforationSafety pin ingestionStrangulated umbilical hernia

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