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A stomach like a utility room: Case report.

Xiubing Chen1, Aihua Huang2, Lijian Yang2

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Annals of Medicine and Surgery (2012)
|November 29, 2021
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Summary

Foreign body (FB) ingestion requires caution, especially in children and those with mental disorders. This case highlights the need for careful planning when symptoms are atypical, even with a stomach full of FBs.

Keywords:
Case reportEndoscopyForeign bodiesPica

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Area of Science:

  • Gastroenterology
  • Pediatric Surgery

Background:

  • Foreign body (FB) ingestion is a common emergency, particularly in children and individuals with mental health conditions.
  • While most ingested FBs are asymptomatic, complications like obstruction or damage necessitate intervention via endoscopy or surgery.

Observation:

  • A 9-year-old male with mental retardation presented with abdominal pain after ingesting numerous FBs.
  • Radiological imaging (X-ray and CT) confirmed a large quantity of FBs in the stomach.
  • Endoscopic removal was unsuccessful, necessitating a laparotomy.

Findings:

  • Surgical intervention successfully removed a significant number of FBs from the stomach.
  • The patient recovered well, tolerating normal feeding by the fourth day post-operation and was subsequently discharged.

Implications:

  • FB ingestion management requires careful consideration, especially in vulnerable populations like children and those with cognitive impairments.
  • Atypical presentations or non-specific symptoms warrant thorough investigation and preparedness for surgical intervention.
  • This case underscores the importance of individualized treatment plans for FB ingestion, anticipating potential complexities.