268 results match your criteria Pediatrics Foreign Body Ingestion


Four-year-old boy with foreign body ingestion: Disk battery or coin?

Pediatr Neonatol 2022 Jun 13. Epub 2022 Jun 13.

Department of Pediatrics, Chang Gung Children's Hospital, Kaohsiung, Taiwan; Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. Electronic address:

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"Jingle All the Way!": Sharp Foreign Bodies Embedded Within the Esophageal Mucosa During the Holiday Season.

Cureus 2022 Apr 26;14(4):e24493. Epub 2022 Apr 26.

Pediatrics, University of South Florida College of Medicine, Tampa, USA.

Sharp pointed objects in the esophagus are extremely hazardous and can lead to complications such as mucosal ulcerations, perforations, obstruction, abscess, and fistula formation. Patients exhibit symptomatology based on the location within the proximal or distal esophagus. Ingestion of a sharp foreign object warrants emergent endoscopic removal, particularly when lodged in the esophagus. Read More

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Battery Ingestion in Children, an Ongoing Challenge: Recent Experience of a Tertiary Center.

Front Pediatr 2022 27;10:848092. Epub 2022 Apr 27.

Paediatric Gastroenterology Unit, Department of Paediatrics, University Hospital Santa Maria, Centro Hospitalar Universitário de Lisboa Norte, EPE, Lisbon, Portugal.

Introduction: Morbidity related to childhood battery ingestions (BI) has increased recently due to the expanding use of larger lithium cells. A prompt endoscopic removal is vital to prevent severe complications in cases of esophageal batteries (EB).

Materials And Methods: A retrospective, descriptive study of admissions for BI requiring endoscopic removal in a tertiary hospital's pediatric emergency department (Jan. Read More

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Pen Foreign Body Ingestion Mimicking Crohn's Disease in a Pediatric Patient.

R I Med J (2013) 2022 May 2;105(4):41-43. Epub 2022 May 2.

Department of Pediatrics, Hasbro Children's Hospital and the Warren Alpert Medical School of Brown University, Providence RI.

Foreign body ingestion is common in pediatrics, particularly in children with psychiatric illness. Foreign bodies present for extended periods of time can trigger a local inflammatory reaction causing weight loss, abdominal pain, and elevated inflammatory markers, mimicking inflammatory bowel disease (IBD). We report a case of intentional pen ingestion in a 13-year-old, whose clinical presentation with elevated inflammatory markers and terminal ileitis suggested on imaging was initially suspicious for Crohn's disease but was found on colonoscopy to be due to foreign body reaction from ingestion of a pen. Read More

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Surgical repair of massive hemorrhage secondary to button battery ingestion causing aortoesophageal fistula.

J Card Surg 2022 Jul 3;37(7):2112-2114. Epub 2022 Mar 3.

Division of Cardiac Surgery, University of Alberta, Edmonton, Alberta, Canada.

Background: In pediatrics, foreign body ingestion poses unique challenges. Each case is unique given variability in timing, type, and size of object, compounded by underlying comorbidities and age. In the mid-1990s, mortality and morbidity associated with button battery (BB) ingestion (BBI) emerged corresponding to modification in battery fabrication towards higher voltage, large-diameter lithium cells. Read More

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An Unfortunate Union: A Case of Multiple Magnet Ingestion in a Pediatric Patient.

Cureus 2022 Jan 22;14(1):e21490. Epub 2022 Jan 22.

Radiology, University of South Alabama, Mobile, USA.

Magnets are among the most dangerous foreign objects that a child can ingest. If more than one magnet is ingested, the attraction between loops of the bowel can bring adjacent loops closer together, leading to perforation, obstruction, or fistulization. Pediatric magnet ingestion patients often require endoscopic or surgical intervention to retrieve the objects and repair the damage created by the magnets. Read More

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January 2022

A novel approach to button battery removal in a two-and-half year-old patient's esophagus after ingestion: a case report.

BMC Pediatr 2022 02 17;22(1):96. Epub 2022 Feb 17.

Department of Pediatric Gastroenterology of Children's Hospital, China Medical University, Taichung, Taiwan.

Background: Accidental swallowing of a foreign body occurs more frequently in children than in adults. Among these cases, button battery impaction in the esophagus may cause severe complications. While prevention is always ideal, if button battery impaction is suspected, immediate diagnosis and retrieval are important. Read More

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February 2022

High-Powered Magnet Exposures in Children: A Multi-Center Cohort Study.

Pediatrics 2022 03;149(3)

Children's Hospital at Montefiore, Albert Einstein College of Medicine; Bronx, New York.

Background And Objectives: High-powered magnets were effectively removed from the US market by the Consumer Product Safety Commission (CPSC) in 2012 but returned in 2016 after federal court decisions. The United States Court of Appeals for the 10th Circuit cited imprecise data among other reasons as justification for overturning CPSC protections. Since then, incidence of high-powered magnet exposure has increased markedly, but outcome data are limited. Read More

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Management of esophageal button battery ingestions: resource utilization and outcomes.

Pediatr Surg Int 2022 Mar 28;38(3):473-478. Epub 2022 Jan 28.

Division of Pediatric Surgery, Department of Surgery, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA, 30322, USA.

Purpose: Institutions are adopting the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) guidelines for pediatric esophageal button battery ingestion (EBBI). Our objective was to evaluate the guidelines' impact on in-hospital resource utilization and short-term clinical outcomes in hemodynamically stable patients after endoscopic battery removal.

Methods: A single-center retrospective review of all EBBI admissions from 2010 to 2020. Read More

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Diagnosis of Nonmigrating Metallic Foreign Bodies in the Abdomen Using Ultrasound: An Alternative Approach Using a Traditional Method.

Pediatr Gastroenterol Hepatol Nutr 2022 Jan 7;25(1):87-91. Epub 2022 Jan 7.

Department of Radiology, Pusan National University Children's Hospital, College of Medicine, Pusan National University, Yangsan, Korea.

Ingestion of foreign bodies (FBs) is a common phenomenon among young children. Plain radiography is the first step diagnostic modality to detect the radio-opaque FBs. And computed tomography has been recommended by several guidelines as useful modalities for diagnosing ingested FBs. Read More

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January 2022

Removal of Coin Cell Lithium Battery Lodged in the Pediatric Pharyngoesophageal Junction by Rigid Esophagoscopy; a Case Report.

Arch Acad Emerg Med 2022 1;10(1):e4. Epub 2022 Jan 1.

Department of Otolaryngology-Head & Neck Surgery, Asahikawa Medical University, Asahikawa, Japan.

A coin cell lithium battery is a common foreign body that can become lodged in the pediatric pharyngoesophageal junction. Because the voltage of such batteries is relatively high, their rapid removal is necessary to avoid mucosal necrosis. Despite being the initial choice for removal, flexible endoscopy cannot remove such foreign bodies from the esophagus. Read More

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January 2022

Pediatric cardiac tamponade caused by metallic wire penetration into the heart: A case report and literature review.

J Card Surg 2022 Apr 23;37(4):1069-1071. Epub 2022 Jan 23.

Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Japan.

Thin, metallic wires can easily penetrate the gastrointestinal system if ingested and cause serious cardiac issues in children. We report a pediatric case of such an object that caused cardiac tamponade after lodging in the left ventricle. The wire was extracted without cardiopulmonary bypass and a full recovery was made. Read More

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Decade of the dangers of multiple magnet ingestion in children: A retrospective review.

J Paediatr Child Health 2022 05 30;58(5):873-879. Epub 2021 Dec 30.

Department of Paediatric Surgery, Monash Children's Hospital, Melbourne, Victoria, Australia.

Aim: Magnet ingestion has become more frequent in children as magnetic toys and jewellery have been popularised, with the potential to cause significant morbidity. Our aim was to describe our experience at a tertiary paediatric surgical centre.

Methods: Retrospective review of patients admitted with multiple magnet ingestion (January 2011-December 2020). Read More

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Foreign Body Ingestion in Children: Epidemiological, Clinical Features and Outcome in a Third Level Emergency Department.

Children (Basel) 2021 Dec 15;8(12). Epub 2021 Dec 15.

Institute of Pediatrics, Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica Sacro Cuore, 00168 Rome, Italy.

Ingestion of foreign bodies is a frequent pediatric cause of access to the Emergency Department (ED). The aim of this study was to determine the epidemiological and clinical features of pediatric patients with a diagnosis of foreign body ingestion and to identify the factors associated with an urgent invasive procedure or hospitalization. This is a retrospective study conducted on a population of 286 pediatric patients (0-17 years) evaluated for foreign body ingestion at the Pediatric ED of "Fondazione Policlinico Universitario A. Read More

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December 2021

Evaluation of a Symptom-Based Algorithm for Managing Battery Ingestions in Children.

Eur J Pediatr Surg 2022 Feb 16;32(1):2-8. Epub 2021 Dec 16.

Department of Pediatric Surgery, Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States.

Objectives:  While complications from battery ingestion can be severe, especially with the emergence of stronger battery elements, not all ingestions require prompt removal. We aim to evaluate a symptom-focused algorithm for battery ingestion that emphasizes observation over intervention to investigate its safety.

Materials And Methods:  Patients were identified through a query of foreign-body ingestion radiographs obtained between 2017 and 2020. Read More

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February 2022

Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery.

Children (Basel) 2021 Oct 23;8(11). Epub 2021 Oct 23.

Pediatric Surgery Department, Children's Hospital "Vittore Buzzi", 20154 Milan, Italy.

Children with intellectual disability/neurodevelopmental delay (ID-ND) commonly ingest foreign bodies (FB) and often present complications due to peculiar aspects of their condition. The aim of this paper is to report the experience of two centers in the management of ID-ND patients after FB ingestion and to discuss a possible algorithm for clinical practice. We retrospectively evaluated data of patients managed for FB ingestion (period: 2017-2021), focusing on those with ID-ND, specifically demographics and baseline diagnosis, elements related to the event, symptoms, time to endoscopy, FB location, endoscopic details, and follow-up. Read More

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October 2021

Toys and Toy Accessories Strike Back: Pediatric Injuries From Plush Toys, Toy Figurines, and Doll and Toy Accessories.

Pediatr Emerg Care 2022 Feb;38(2):e714-e718

From the Pediatric Emergency Medicine, Children's Hospital of Michigan.

Objective: The aim of the study was to examine age-associated injury trends and severe injury proportions for plush toys, toy figurines, and doll and toy accessories. We hypothesized that the proportion of severe injuries would be highest in the younger than 3-year and 3- to 5-year age groups.

Methods: We analyzed injury patterns from plush toys, toy figurines, and doll and toy accessories for ages of 0 to 18 years from 2010 to 2018 using the Consumer Product Safety Commission National Electronic Injury Surveillance System. Read More

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February 2022

Survival of Toddler with Aortoesophageal Fistula after Button Battery Ingestion.

Case Rep Otolaryngol 2021 5;2021:5557054. Epub 2021 Oct 5.

College of Medicine, The Ohio State University, Columbus, OH, USA.

Button batteries (BBs) are found in many households and are a source of esophageal foreign body in the pediatric population. Upon ingestion, significant caustic injury can occur within 2 hours leading to tissue damage and severe, potentially fatal sequelae. Aortoesophageal fistula (AEF) is a rare complication that nearly always results in mortality. Read More

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October 2021

Successful removal of two magnets in the small intestine by laparoscopy and colonoscopy: A case report.

World J Clin Cases 2021 Sep;9(27):8226-8231

Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Bucheon 14584, South Korea.

Background: Ingestion of multiple magnets can cause serious gastrointestinal complications, such as obstruction, fistulae, and perforation. When multiple magnets traverse the stomach, coordination between pediatric gastroenterologists and pediatric surgeons is recommended, and ultimate management is required dependent on clinical concerns.

Case Summary: A 5-year-old girl swallowed 2 small magnets that then remained in the right lower quadrant (RLQ) of the abdomen for 3 d; this required endoscopic and laparoscopic intervention. Read More

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September 2021

Clinical characteristics of magnetic foreign body misingestion in children.

Sci Rep 2021 09 21;11(1):18680. Epub 2021 Sep 21.

Department of Pediatrics, Taipei Medical University-Shuang Ho Hospital, New Taipei City, 23561, Taiwan.

Magnetic foreign body misingestion (MFBM) is now occurring more frequently. It may cause remarkable mortality and morbidity in children. A retrospective analysis of the clinical data of children admitted to Xiamen Children's Hospital between March 2017 and July 2020 due to accidental MFBM. Read More

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September 2021

Ball magnet ingestion in children: a stronger and more dangerous attraction?

Emerg Med J 2022 Jun 20;39(6):467-470. Epub 2021 Sep 20.

Department of Paediatric Intensive Care, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Introduction: The ingestion of small, strong, rare-earth magnets, also termed 'ball magnets', can rapidly result in life-threatening bowel injuries. The objective of this study was to report the incidence and management of 'ball magnet' ingestion in children across the UK and to discuss the potential implications for policy-makers and public awareness campaigns.

Methods: In this multi-centre survey of UK major trauma centres (MTCs), paediatric patients admitted to hospital following 'ball magnet' ingestion from 1 January 2020 to 31 December 2020 were included. Read More

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Current management for foreign body and toxic agent ingestion in a paediatric primary emergency centre.

Minerva Pediatr (Torino) 2021 Sep 13. Epub 2021 Sep 13.

Kobe Children's Primary Emergency Medical Center, Kobe, Japan.

Objectives: Accidental foreign body ingestion (FBI) and toxic agent ingestion (TAI) are commonly encountered among children in primary emergency settings. Early detection and appropriate medical intervention are crucial to improve outcomes. Although many reports from tertiary institutions have shown improvements in therapy, data are still lacking from primary emergency facilities. Read More

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September 2021

[Ingestion of multiple magnets in pediatrics: endoscopic or surgical emergency?]

Rev Gastroenterol Peru 2021 Jan-Mar;41(1):33-36

Unidad de gastroenterología y endoscopia, Hospital Pablo Tobón Uribe, Medellín, Colombia.

Ingestion of foreign bodies is common in the pediatric population. Most foreign bodies have a benign behavior and are usually eliminated without generating greater morbidity and mortality. In relation to the intake of magnets, its frequency has increased to the point that it currently represents a public health problem in the pediatric population. Read More

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October 2021

Esophageal Inflammatory Fibroid Polyp After Button Battery Ingestion.

J Pediatr Gastroenterol Nutr 2021 12;73(6):e126

Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI.

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December 2021

The impact of the coronavirus disease 2019 pandemic on pediatric hospitalization in Kitami, Japan.

Pediatr Int 2022 Jan;64(1):e14937

Department of Pediatrics, Japanese Red Cross Kitami Hospital, Kitami, Japan.

Background: Coronavirus disease 2019 (COVID-19) has drastically changed the recommended activities and environment for patients worldwide. Our aim was to assess the impact of COVID-19 on pediatric hospitalizations in Kitami, Japan.

Methods: A retrospective, single-center study was conducted on hospitalized patients aged 0-14 years at the Japanese Red Cross Kitami Hospital. Read More

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January 2022

Current management of button battery injuries.

Laryngoscope Investig Otolaryngol 2021 Jun 15;6(3):549-563. Epub 2021 Apr 15.

Department of Otolaryngology-Head and Neck Surgery The Ohio State University Wexner Medical Center Columbus Ohio USA.

Button batteries (BB) are found in common household items and can lead to significant morbidity and mortality in the pediatric population when ingested. BBs are made of various chemistries and have a unique size and shape that yield significant injury when lodged in the pediatric esophagus. BBs create a local tissue pH environment of 10 to 13 and can induce liquefactive necrosis at the negative pole. Read More

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

J Pak Med Assoc 2021 Apr;71(4):1249-1251

Department of Paediatrics and Child Health, The Indus Hospital network, Karachi, Pakistan.

Foreign body (FB) ingestion is common in children; however, management varies based on the object ingested, its location and clinical presentation. Urgent intervention is needed if any warning signs are present. We describe the case of a four-year-old child who presented with acute onset of life-threatening upper gastro intestinal bleeding. Read More

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Point-of-Care Ultrasound to Evaluate the Acute Abdomen: A Case of Bowel Perforation After Unknown Single Magnet Ingestion.

Pediatr Emerg Care 2022 Feb;38(2):e1022-e1024

From the Section of Pediatric Emergency Medicine, Department of Pediatrics.

Abstract: We report the case of a 3-year-old boy who presented to the pediatric emergency department in undifferentiated shock with an acute abdomen. Point-of-care ultrasound revealed viscous perforation with a large amount of free fluid. Intraoperatively, a single magnet was discovered as the likely cause of bowel perforation and the resulting state of shock. Read More

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February 2022

A Case of Airway Compromise in a 15-year-old Girl With Intellectual Disability.

Cureus 2021 May 3;13(5):e14824. Epub 2021 May 3.

Pediatric Intensive Care Unit, Massachusetts General Hospital, Boston, USA.

Foreign body ingestion (FoBI) is an important source of morbidity and mortality in the pediatric population. Patients with intellectual disabilities (ID) are at increased risk of FoBI, likely due to the known association between ID and increased rates of pica. In this report, we present the case of a 15-year-old female patient with autism spectrum disorder (ASD) and ID who presented to the emergency department with fever, drooling, and respiratory failure. Read More

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Magnetic resonance imaging findings following button battery ingestion.

Pediatr Radiol 2021 Sep 1;51(10):1856-1866. Epub 2021 Jun 1.

Department of Radiology, University of Colorado, Aurora, CO, USA.

Background: Lithium button battery ingestions have been increasing in frequency since the early 2000s and can develop severe and sometimes fatal complications from caustic injury even after rapid battery removal. To aid in clinical decision-making, we began obtaining magnetic resonance imaging (MRI)/MR angiography in these patients.

Objective: Our goal was to review MRI/MR angiography imaging in button battery ingestion cases and compare with other imaging, clinical data and outcomes in these patients. Read More

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September 2021