Related Experiment Video
Updated: Dec 10, 2025

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
Foreign body ingestion in an infant: A high index of suspicion is required
Luqman Afiq Mohamad Ishak1, Kee Guan Khor1, Shi Nee Tan1,2
1Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Tawau Tawau Sabah Malaysia.
Insights
Foreign body ingestion is common in children, with upper gastrointestinal tract cases making up 75%-85%. Prompt diagnosis and intervention are crucial for pediatric foreign body ingestion management.
Area of Science:
- Pediatric Otolaryngology
- Gastroenterology
Background:
- Foreign body ingestion is a significant concern in pediatric patients, particularly affecting the upper gastrointestinal tract.
- This condition accounts for a substantial majority (75%-85%) of all foreign body ingestions in children.
Observation:
- An 8-month-old boy presented with vomiting, prompting suspicion of foreign body ingestion.
- Flexible laryngoscopy identified a phone screen protector lodged in the vallecular region.
- The foreign body was successfully removed surgically in the operating theatre.
Findings:
- The case highlights a rare foreign body (phone screen protector) in the vallecular region of an infant.
- Successful surgical removal of the foreign body was achieved.
Implications:
- Healthcare providers should maintain a high index of suspicion for foreign body ingestion in pediatric patients presenting with relevant symptoms.
- The location and type of foreign body are critical factors in determining the appropriate management strategy, whether immediate intervention or conservative observation.
- This case underscores the importance of thorough diagnostic evaluation and timely intervention in pediatric foreign body ingestion.
Introduction:
The incidence of foreign body ingestion in the upper gastrointestinal tract accounts for 75%-85% of foreign body ingestions in pediatric patients.
Case Presentation:
An 8-month old boy presented with vomiting and was referred to the otorhinolaryngology team based on his mother's suspicion that her child might have ingested a foreign body. Flexible laryngoscopy revealed a phone screen protector at the vallecular region. The foreign body was removed in the operating theatre.
Conclusion:
Foreign body ingestion should always be suspected in young patients. Consideration of the patient's symptoms, level of lodgement, and type of foreign body will determine whether immediate intervention or a conservative approach is warranted.
More Related Videos
Related Concept Videos
Lower GI Series: Barium Enema
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Upper GI Series: Barium Swallow
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Prevention of Further Absorption of Poison
Development of Immunocompetence
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus....

