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Hijab Pin Ingestions.

Dotan Yogev1, Fadi Mahameed1, Alex Gileles-Hillel2

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Hijab pin ingestion is common in adolescent girls. A delayed intervention approach for selected cases reduces procedures without increasing complications, guiding pediatric specialists.

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Area of Science:

  • Pediatric Gastroenterology
  • Foreign Body Ingestion
  • Adolescent Health

Background:

  • Hijab pins are frequently ingested by adolescents.
  • Clinical features of hijab pin ingestion differ from other sharp foreign bodies.

Purpose of the Study:

  • To characterize clinical manifestations, outcomes, and complications of hijab pin ingestion in adolescents.
  • To identify risk factors for intervention in hijab pin ingestion cases.

Main Methods:

  • Retrospective review of patients under 25 years old presenting with hijab pin ingestion (2007-2018).
  • Comparison between impaled and non-impaled pins.
  • Analysis of risk factors for impalement, including pin location and abdominal tenderness.

Main Results:

  • 208 patients (13.3%) presented with hijab pin ingestion.
  • Most pins were in the stomach (46.6%); 18.6% were impaled.
  • Stomach location and abdominal tenderness were risk factors for impalement (P < .001 and P = .007, respectively).
  • 41 endoscopies and one surgery were performed; no complications observed.

Conclusions:

  • Hijab pin ingestion is a prevalent issue in pediatric practice.
  • A delayed interventional approach in selected patients is safe and reduces interventions.
  • Findings guide pediatric specialists in managing this clinical scenario.