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Acute pancreatitis from a duodenal foreign body in a child
A Dabadie1, M Roussey, P Betremieux
1Service de Pédiatrie-Génétique Médicale, CHRU Pontchaillou, Rennes, France.
Insights
A paper clip caused acute pancreatitis in a child. Endoscopic removal led to recovery, highlighting the need for monitoring ingested foreign bodies and using duodenal endoscopy for unexplained pancreatitis.
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
- Endoscopic Procedures
Background:
- Acute pancreatitis in children can have diverse etiologies.
- Foreign body ingestion is a potential, though less common, cause of pediatric pancreatitis.
- Prompt diagnosis and intervention are crucial for managing pediatric abdominal emergencies.
Observation:
- A 14-month-old presented with shock and acute pancreatitis.
- Radiography identified a paper clip lodged at the duodenal level.
- The child exhibited symptoms of abdominal pain and shock.
Findings:
- Endoscopic removal of the duodenal paper clip was successful.
- The duodenal papilla was observed to be edematous and hemorrhagic post-removal.
- The patient's condition improved significantly after the foreign body extraction.
Implications:
- This case emphasizes the importance of considering foreign body ingestion in pediatric acute pancreatitis.
- Digestive tract surveillance is critical for non-endoscopically removed foreign bodies.
- Duodenal endoscopy is a valuable diagnostic and therapeutic tool for pancreatitis of unclear origin in children.
Abstract:
A 14-month-old child was admitted to the hospital with acute pancreatitis, abdominal pain, and shock. An abdominal radiograph revealed a paper clip standing out at the duodenal level. The foreign body was removed by endoscopy, revealing an edematic and hemorrhagic duodenal papilla. The patient progressed favorably after the foreign body was removed. This observation underlines the necessity of digestive transit surveillance of a foreign body that has not been endoscopically removed and the relevancy of duodenal endoscopy for acute pancreatitis of indefinite etiology.