An alarming case of metallic sharp foreign body ingestion in an infant
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20233585Keywords:
Metallic foreign body, Infant, OesophagoscopyAbstract
Foreign body ingestion is a frequent challenge in the emergency room, with potential morbidity affecting around 1% of patients, often stemming from unintentional incidents. Accidents of this nature can result in severe complications leading to fatalities. Common complications involve lacerations, punctures, abscess formation, perforation, pneumomediastinum, mediastinitis, pneumothorax, pericarditis, tamponade, fistulas, and even vascular injuries to the aorta. The risk escalates significantly when the ingested object is sharp and narrow. Presenting an intriguing case, we report an instance of an infant ingesting a metallic, sharp foreign body. This particular case raises unique challenges given the vulnerability of the infant and the potential for severe complications associated with sharp objects. Immediate and precise medical intervention becomes paramount in such scenarios to prevent adverse outcomes. Vigilance in the emergency room is crucial, as the nature of foreign body ingestion can lead to diverse complications, emphasizing the need for a comprehensive understanding and swift response in managing these cases, particularly when involving infants who are at a heightened risk.
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References
Hon KLE, Leung TF, Hung CWE, Cheung KL, Leung AK. Ingestion-associated adverse events necessitating paediatric ICU admissions. Indian J Pediatr. 2009;76(3):283-6.
Bolton SM, Saker M, Bass LM. Button battery and magnet ingestions in the pediatric patient. Curr Opin Pediatr. 2018;30(5):653-9.
Hussain SZ, Bousvaros A, Gilger M, Mamula P, Gupta S, Kramer R et al. Management of ingested magnets in children. J Pediatr Gastroenterol Nutr. 2012;55(3):239-42.
Prasad V, Samuel V, Ramakrishnan M, Ravikumar D, Sharna N. Management of foreign body ingestion in children with cerebral palsy: Need for proper trauma management protocol. J Family Med Prim Care. 2018;7(3):638-641.
Anselmi EH, San Román CG, Fontoba JEB. Intestinal perforation caused by magnetic toys. J Pediatr Surg. 2007;42(3):e13-6.
Cho J, Sung K, Lee D. Magnetic foreign body ingestion in pediatric patients: report of three cases. BMC Surg. 2017;17:73.
Gurevich Y, Sahn B, Weinstein T. Foreign body ingestion in pediatric patients. Curr Opin Pediatr. 2018;30(5):677-82.
Yuan F, Tang X, Gong W, Su L, Zhang Y. Endoscopic management of foreign bodies in the upper gastrointestinal tract: An analysis of 846 cases in China. Exp Ther Med. 2018;15(2):1257-62.