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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
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.
Abstract:
Ingestion of foreign object is a common problem with children. These foreign bodies (FBs) can be in the respiratory tract of the aerodigestive tract. A 14-month-old male child presented to the emergency department of our hospital at 6.30 pm with irritability and continuous crying. On radiology, we found that the metallic body in the shape of a cycle was lodged in the upper esophagus. We decided to remove the FB endoscopically using an esophagoscope. We used meticulous and gentle manipulation around the edge of the metallic FB and did over a sufficient amount of time so as to dislodge the body from the impacted esophageal mucosa without causing any trauma or bleeding from the adjacent site. The child was placed under overnight observation in the hospital. The stay in the hospital was uneventful, and the child was discharged the next day. We would like to present this case due to unusual shape and nature of the FB and the difficulty encountered in clinical management of the patient.
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