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Updated: Jan 3, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
[Foreign body ingestion in children].
Hilde Krom1,2, Gijs Elshout3, Catharine A Hellingman4
1Emma Kinderziekenhuis, Amsterdam UMC, locatie AMC-UvA, Afd. Kinder-mdl, Amsterdam.
Foreign body ingestion in children is common, ranging from asymptomatic toy passage to critical button battery complications requiring intervention. Prompt diagnosis and management are key for preventing severe outcomes in pediatric foreign body ingestion.
Area of Science:
- Pediatric Gastroenterology
- Emergency Medicine
- Clinical Case Studies
Background:
- Foreign body ingestion is a frequent occurrence in pediatric patients.
- It can lead to significant morbidity and mortality if not managed appropriately.
- Guidelines for managing foreign body ingestion in children aged 0-18 years exist.
Observation:
- Case 1: A 2-year-old boy ingested a plastic toy helmet, passed it asymptomatically within three days.
- Case 2: A 6-year-old girl ingested two magnets, passed them asymptomatically within two days; endoscopic removal was not feasible.
- Case 3: A 10-year-old boy with VACTERL association ingested a button battery, requiring endoscopic removal and esophageal dilatation for stenosis.
Findings:
- The presented cases illustrate the varied presentations and outcomes of foreign body ingestion in children.
- Button batteries pose a higher risk, potentially necessitating urgent endoscopic intervention.
- Asymptomatic passage is common for certain ingested objects like plastic toys and magnets.
Implications:
- Highlights the importance of timely diagnosis and management strategies for pediatric foreign body ingestion.
- Emphasizes the need for adherence to established clinical guidelines for effective treatment.
- Underscores the potential for severe complications, particularly with button battery ingestions, necessitating prompt medical evaluation.
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