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Published on: September 11, 2018
Mortality in a case of crystal gel ball ingestion: an alert for parents
1Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health Lahore, Pakistan.
Insights
Decorative crystal gel balls pose a serious ingestion risk for infants, potentially causing intestinal obstruction. This case highlights the critical need for awareness and prevention of pediatric exposure to these hazardous decorative items.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Complications
- Toxicology of Ingested Foreign Bodies
Background:
- Decorative crystal gel balls are visually appealing and may be mistaken for toys by young children.
- Accidental ingestion of foreign bodies in infants can lead to severe gastrointestinal emergencies.
Observation:
- A 6-month-old infant presented with symptoms of subacute intestinal obstruction.
- Surgical exploration revealed jejunal obstruction caused by ingested crystal gel balls.
Findings:
- The infant underwent enterotomy and mass removal, followed by primary closure.
- Postoperative complications included anastomotic disruption, leading to re-operation.
- The infant developed septicemia and unfortunately succumbed to the complications.
Implications:
- Highlights the critical need for parental education on the dangers of decorative gel balls.
- Emphasizes the importance of prompt surgical intervention in cases of suspected intestinal obstruction due to foreign body ingestion.
- Underscores the potential for fatal outcomes from seemingly innocuous decorative items in pediatric populations.
Abstract:
Decorative crystal gel balls are used for decoration purpose. Due to their attractive appearance they may be ingested by children. This may result in grave complications. A case of decorative crystal ball ingestion is being reported in a 6 months old infant who presented with sub acute intestinal obstruction and was operated. Crystal gel balls were causing obstruction of jejunum. Enterotomy and removal of the mass of jelly balls was done with primary closure. The patient was re-operated for anastomotic disruption on 6th postoperative day. Baby developed septicemia, and succumbed after 2 days of second operation.
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