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.

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