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Pediatric safety pin ingestion

H Sarihan1, I Kaklikkaya, F Ozcan

  • 1Department of Pediatric Surgery, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey.

The Journal of Cardiovascular Surgery
|October 27, 1998
PubMed
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This study reviewed 15 children who ingested safety pins, finding most pins lodged in the upper esophagus. Endoscopic removal was effective, though one case required surgery due to duodenal lodging.

Area of Science:

  • Pediatric Gastroenterology
  • Foreign Body Ingestion
  • Medical Device Complications

Background:

  • Ingestion of foreign bodies, including safety pins, is a significant concern in pediatric patients.
  • Safety pin ingestion can lead to various complications, from asymptomatic lodging to life-threatening conditions.

Purpose of the Study:

  • To retrospectively evaluate the etiology and management of safety pin ingestion in children.
  • To analyze the location, complications, and treatment outcomes of ingested safety pins in pediatric patients.

Main Methods:

  • Retrospective review of 15 consecutive pediatric cases with ingested safety pins.
  • Analysis of patient demographics, pin location, presenting symptoms, and management strategies.
  • Evaluation of endoscopic and surgical interventions for safety pin removal.

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Main Results:

  • The mean age of patients was 5.4 years; 8 were male and 7 were female.
  • Safety pins were most commonly found at the cricopharyngeus (9), followed by the esophagogastric junction (5) and aortic arch (1).
  • Esophagoscopy successfully removed 9 pins; 6 passed spontaneously or during anesthesia, with one requiring laparotomy due to duodenal lodging.

Conclusions:

  • Safety pin ingestion in children requires prompt evaluation and management.
  • Endoscopic retrieval is the primary treatment modality, with a high success rate.
  • Complications, though rare, necessitate careful monitoring and surgical intervention when indicated.