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A Sharp Lesson: Duodenal Perforation 2 Months after Ingestion of a Pin

Rebecca Amy Dalrymple1, Kathleen Berry2, Ingo Jester3

  • 1Department of Paediatric Nephrology, Royal Hospital for Children, Glasgow, G51 4TF, UK.

Journal of Indian Association of Pediatric Surgeons
|July 12, 2017
PubMed

Insights

A child swallowed a hijab pin, causing abdominal pain and liver erosion. Prompt removal of ingested pins is crucial to prevent serious complications like duodenal perforation.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Foreign Body Ingestion

Background:

  • Accidental ingestion of foreign bodies is a common pediatric emergency.
  • Sharp objects, such as pins, pose a significant risk of internal injury.
  • Delayed presentation of ingested foreign bodies can lead to severe complications.

Observation:

  • An 11-year-old female presented with right-sided abdominal pain.
  • Imaging revealed an ingested hijab pin in the right upper quadrant.
  • Laparoscopy confirmed duodenal perforation and liver erosion by the pin.

Findings:

  • The ingested hijab pin had migrated from the duodenum into the liver.
  • Erosion of the duodenum and liver by a swallowed pin is a rare but serious event.
  • Surgical intervention was required for removal.

Implications:

  • Early detection and removal of ingested pins are vital in pediatric care.
  • This case highlights the potential for severe gastrointestinal and hepatic injury from seemingly small ingested objects.
  • Clinicians should maintain a high index of suspicion for complications of foreign body ingestion.

Keywords:
Abdominal painforeign bodyingestionpediatric surgeryperforationpin

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