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.

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