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[Case report: intestinal perforation by foreign body]

Karol A Martínez Portilla1,2, Cecilia Zubiri3, Norma Balcarce3

  • 1Hospital de Niños "Sor María Ludovica", La Plata, Buenos Aires, Argentina. karolandrea1310@yahoo.com.

Archivos Argentinos De Pediatria
|January 19, 2017
PubMed

Insights

Accidental ingestion of foreign bodies is common in children but rarely needs surgery. A 10-month-old infant required surgery for a duodenal perforation caused by an ingested screw.

Area of Science:

  • Pediatric surgery
  • Gastroenterology
  • Radiology

Background:

  • Foreign body ingestion is a frequent pediatric emergency.
  • Most ingested foreign bodies pass spontaneously without complications.
  • Surgical intervention for ingested foreign bodies is rare.

Observation:

  • A 10-month-old infant presented with an incidentally discovered 7 cm radiopaque foreign body, consistent with a screw, in the abdomen.
  • The foreign body was located in the abdominal cavity.
  • Endoscopic extraction was unsuccessful.

Findings:

  • Surgical exploration revealed a perforation in the second and third portions of the duodenum.
  • The ingested screw caused significant gastrointestinal trauma requiring surgical management.
  • The infant had no overt abdominal symptoms prior to incidental discovery.

Implications:

  • This case highlights a rare but serious complication of foreign body ingestion in infants.
  • It underscores the importance of prompt diagnosis and management of radiopaque foreign bodies in the pediatric population.
  • Surgical intervention may be necessary when endoscopic removal fails or complications arise.

Keywords:
childhoodforeign bodiesintestinal perforation

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