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Moderate Gastrointestinal Complications Due to "Superglue" Ingestion in a Pediatric Patient
Liat Sabag1, Mordechai Slae, Peri Nicole Millman
1From the Department of Pediatrics, Hadassah Medical Center Mount Scopus.
Insights
Cyanoacrylate ingestion in children typically causes mild issues. However, rare cases, like this one involving a 3-year-old, can lead to severe gastrointestinal obstruction requiring medical intervention.
Area of Science:
- Pediatric Gastroenterology
- Toxicology
- Emergency Medicine
Background:
- Cyanoacrylates, commonly known as super glues, are frequently encountered in households.
- Ingestion in children is usually accidental and often results in minor, self-limiting gastrointestinal symptoms.
Observation:
- A 3-year-old boy presented with symptoms of upper gastrointestinal obstruction.
- The patient required invasive procedures to manage the condition.
- Initial assessments suggested cyanoacrylate ingestion as a potential cause.
Findings:
- While generally considered low-risk for severe complications, this case highlights that cyanoacrylate ingestion can cause significant upper gastrointestinal distress.
- Esophageal and gastric mucosa injury is a possible, albeit rare, consequence in pediatric patients.
Implications:
- Clinicians should maintain a high index of suspicion for gastrointestinal complications following cyanoacrylate ingestion in children, even if symptoms appear mild initially.
- This case underscores the importance of considering invasive interventions for pediatric gastrointestinal obstruction potentially caused by cyanoacrylates.
- Further research may be warranted to elucidate the mechanisms and risk factors for severe gastrointestinal injury from cyanoacrylate ingestion in children.
Abstract:
Childhood cases of cyanoacrylates generally do not cause moderate or severe gastrointestinal complications. We report the case of a 3-year-old boy referred to our pediatric emergency room and admitted to the pediatric department with signs of upper gastrointestinal obstruction that required invasive intervention. Although it is rare, cyanoacrylate ingestion may injure esophageal and gastric mucosa in the pediatric population.
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