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Upper gastrointestinal bleed in a toddler - an unusual encounter revealing foreign body ingestion

Rahim Ahmed1, Humaira Jurair1, Kamran Sadiq1

  • 1Department of Paediatrics and Child Health, Aga Khan University Hospital, Karachi, Pakistan.

JPMA. the Journal of the Pakistan Medical Association
|June 14, 2021
PubMed

Insights

Foreign body ingestion in children can cause severe upper gastrointestinal bleeding. This case highlights the importance of considering foreign body ingestion in the differential diagnosis of acute bleeding in children.

Area of Science:

  • Pediatric Gastroenterology
  • Emergency Medicine

Background:

  • Foreign body (FB) ingestion is a frequent occurrence in pediatric patients.
  • Management strategies for FB ingestion are diverse, depending on the object, location, and clinical signs.

Observation:

  • A four-year-old child presented with sudden, severe upper gastrointestinal bleeding.
  • Initial laboratory workup yielded inconclusive results for the bleeding source.
  • Endoscopic examination identified a sharp foreign body lodged in the upper GI tract.

Findings:

  • The sharp foreign body was successfully removed via endoscopy.
  • The patient experienced an uneventful post-operative recovery and hospital course.

Implications:

  • Foreign body ingestion can lead to life-threatening upper gastrointestinal hemorrhage in children.
  • Healthcare providers should include FB ingestion in the differential diagnosis for acute, unexplained upper GI bleeding in pediatric cases.

Keywords:
Upper gastrointestinal bleed, Foreign body ingestion, Paediatrics.

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