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Published on: September 11, 2018
Effective Use of Computed Tomography for Detection of Press-Through-Package Sheet Ingestion in a Pediatric Patient
Insights
Press-through-package sheet (PTPS) ingestion, though common in elderly individuals, can occur in children. This case highlights computed tomography
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
- Emergency Medicine
Background:
- Press-through-package sheet (PTPS) ingestion is a known cause of gastrointestinal perforation, typically seen in elderly patients.
- Prompt medical intervention is crucial for managing PTPS ingestion incidents.
Observation:
- A 12-year-old patient with attention-deficit/hyperactivity disorder presented with abdominal pain.
- Initial chest X-ray did not reveal the foreign object.
- Computed tomography (CT) scan identified a PTPS lodged in the lower esophagus.
Findings:
- The ingested PTPS was successfully removed endoscopically without complications.
- This case demonstrates that PTPS ingestion can occur in pediatric populations.
- CT scanning is a valuable diagnostic tool for identifying esophageal foreign bodies like PTPS.
Implications:
- Pediatricians and emergency departments should consider PTPS ingestion in children presenting with abdominal pain.
- CT imaging should be utilized for suspected cases of PTPS ingestion in pediatric patients.
- Endoscopic removal is a safe and effective treatment for pediatric PTPS ingestion.
Abstract:
Press-through-package sheet (PTPS) ingestion can cause perforation of gastrointestinal tract. Such incidents, which require immediate medical attention, are often observed in elderly people. In this report, we describe the case of a 12-year-old patient who ingested PTPS. The patient, who has attention-deficit/hyperactivity disorder, presented with abdominal pain at our hospital. While it was not revealed by a chest x-ray, computed tomography scan showed a PTPS lodged in his lower esophagus. The ingested PTPS was removed by endoscopy without complications. Press-through-package sheets ingestion can occur in pediatric patients, and computed tomography scan is useful in the diagnosis.
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