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.

Pediatric Investigation
|August 28, 2020
PubMed

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.
Abstract

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