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Diagnosis and Management of a Postpyloric Foreign Body Causing Small Bowel Obstruction in an Infant

Victoria Bradford1, Marissa Vadi2,3, Harmony Carter2,3

  • 1Division of Pediatric Anesthesiology, Department of Anesthesiology and Critical Care Medicine, University of New Mexico Children's Hospital, Albuquerque, NM, USA.

Clinical Medicine Insights. Case Reports
|February 21, 2022
PubMed

Insights

Foreign body ingestion in children is common. Radiolucent objects can be hard to detect on X-rays, potentially delaying diagnosis and treatment for pediatric bowel obstruction.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Case Reports
  • Medical Imaging

Background:

  • Foreign body ingestion is a frequent pediatric issue, usually with minor complications.
  • Radiopaque foreign bodies are easily seen on radiographs, but radiolucent ones may be missed.
  • Delayed diagnosis of ingested foreign bodies can lead to significant morbidity.

Observation:

  • A healthy 10-month-old infant presented with a 5-day history of vomiting after meals.
  • Imaging studies suggested a small bowel obstruction.
  • Exploratory laparotomy revealed a foreign body lodged distal to the pylorus.

Findings:

  • The infant had a radiolucent foreign body causing a small bowel obstruction.
  • Surgical intervention was necessary for removal via enterotomy.
  • The child recovered following the procedure.

Implications:

  • This case highlights the diagnostic challenges posed by radiolucent foreign bodies in children.
  • Early recognition and intervention are crucial to prevent complications associated with pediatric bowel obstruction.
  • Consideration of foreign body ingestion is important even with initially inconclusive imaging.

Keywords:
Foreign body ingestionpediatricssmall bowel obstruction

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