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Related Experiment Video

Updated: Nov 24, 2025

Endoscopic Approach for Colloid Cyst Resection
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Not Just for Urine: A Versatile Tool for Foreign Body Removal.

Vir Singh1,2, Vishalakshi Lakshmanan3, Jennifer Setlik4

  • 1Emergency Medicine, University of Central Florida College of Medicine, Orlando, USA.

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|December 23, 2020
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Summary

A pediatric patient with Hirschsprung disease and an ostomy successfully had a swallowed coin removed using a Foley catheter. This case highlights a novel, non-surgical approach for foreign body retrieval in children with gastrointestinal abnormalities.

Keywords:
foley catheterforeign body retrievalhirschsprung diseasepediatric abdominal painpediatric ileostomyswallowed foreign body

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Area of Science:

  • Pediatric Emergency Medicine
  • Gastroenterology
  • Surgical Case Report

Background:

  • Foreign body ingestion is a frequent pediatric emergency, with most objects passing harmlessly.
  • Children with pre-existing gastrointestinal abnormalities, such as ostomies, face a higher risk of impaction.
  • Few cases detail foreign object ingestion in pediatric patients with ostomies.

Observation:

  • A 17-month-old infant with a colostomy due to Hirschsprung's disease presented with bloody vomiting and feeding intolerance.
  • Physical examination revealed a visualized mass at the stoma, and abdominal radiography confirmed a metallic foreign body.
  • The infant was symptomatic, experiencing irritability and emesis.

Findings:

  • A coin was successfully retrieved from the ileostomy stoma using a Foley catheter and forceps.
  • The patient, despite symptoms, was stable for non-surgical management.
  • The infant was observed and discharged home on the same day without complications.

Implications:

  • This case demonstrates a novel and effective Foley catheter-assisted retrieval of an ingested foreign body in an infant with an ostomy.
  • Prompt imaging and non-surgical removal should be considered for stable pediatric patients with ostomies presenting with foreign body ingestion.
  • This technique offers a potentially less invasive management option for a rare but serious complication in pediatric patients with GI tract abnormalities.