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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
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[Pediatric foreign body. A two case report.]
José Luis Fadil Iturralde1, Jorge Marani1, Juan Carlos Contardi1
1Servicio de Urología Pediátrica. Hospital de Niños "Víctor J. Vilela". Rosario. Prov. Santa Fe. Argentina.
Archivos Espanoles De Urologia
|May 4, 2021
Summary
Foreign body insertion into the urethra is rare in young children, often linked to self-discovery. Endourologic removal is typically successful, but child abuse and psychiatric disorders require careful consideration.
Area of Science:
- Pediatric Urology
- Emergency Medicine
- Foreign Body Ingestion
Background:
- Urethral foreign body insertion is a rare pediatric emergency.
- Clinical presentations and foreign body types vary widely.
- While sexual abuse and mental disorders are considerations, many cases involve childhood self-discovery without sexual intent.
Observation:
- Two cases of prepubertal boys (ages 5 and 7) presented with metallic urethral foreign bodies.
- Patients were largely asymptomatic, with diagnosis confirmed via radiology.
- Both cases were successfully managed with an endourologic approach, avoiding complications.
Findings:
- Endourologic procedures are the preferred treatment for urethral foreign bodies in children.
- Conventional surgery is rarely necessary for these cases.
- Radiological confirmation is crucial for diagnosis.
Implications:
- Management requires an individualized approach, focusing on foreign body removal.
- It is essential to rule out child abuse and psychiatric disorders in affected children.
- Early and appropriate intervention ensures favorable outcomes.
