Presentation of an unusual metallic foreign body in a child

Ravikiran Vernekar1, Maninder Singh Setia2

  • 1Consultant Ear, Nose, and Throat Specialist, Dr. L H Hiranandani Hospital, Mumbai, Maharashtra, India.

Insights

A metallic toy cycle lodged in a child's esophagus required careful endoscopic removal. This case highlights challenges in pediatric foreign body ingestion management.

Area of Science:

  • Pediatric Gastroenterology
  • Emergency Medicine
  • Otolaryngology

Background:

  • Foreign body ingestion is a frequent pediatric emergency.
  • Foreign bodies can obstruct the aerodigestive tract, posing significant risks.

Observation:

  • A 14-month-old boy presented with irritability due to a metallic, cycle-shaped foreign body in the upper esophagus.
  • Radiology confirmed the object's location and metallic nature.

Findings:

  • Endoscopic removal using an esophagoscope was successfully performed.
  • Gentle, meticulous manipulation was key to dislodging the foreign body without causing trauma or bleeding.

Implications:

  • This case underscores the importance of specialized endoscopic techniques for managing unusual pediatric foreign bodies.
  • Prompt diagnosis and intervention are crucial for favorable outcomes in foreign body ingestion cases.

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