234 results match your criteria Pediatrics Foreign Body Ingestion

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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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 Jun 1. 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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Foreign body ingestion in children: Beware of disk batteries and multiple magnets.

Acta Paediatr 2021 May 28. Epub 2021 May 28.

NESMOS Department, Chair of Pediatrics, Faculty of Medicine and Psychology, Sapienza University of Rome, Sant'Andrea University Hospital, Rome, Italy.

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A Boy With Ambiguous Foreign Body Ingestion.

Ann Emerg Med 2021 Jun;77(6):e119-e120

Department of Pediatrics, University of Chicago, Chicago, IL.

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Bilateral vocal fold palsy due to ingested battery in the postcricoid area/proximal esophagus.

Pediatr Pulmonol 2021 Jul 26;56(7):2366-2369. Epub 2021 Apr 26.

Department of Otorhinolaryngology, Faculty of Medicine and Health Sciences, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa.

Stridor is a common symptom associated with foreign body aspiration. In most cases, this is due to the foreign bodies lodging in the supraglottis, glottis, subglottis, or high extra-thoracic trachea. Infrequently, foreign bodies located in the esophagus cause stridor. Read More

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Factors affecting successful esophageal foreign body removal using a Foley catheter in pediatric patients.

Clin Exp Emerg Med 2021 Mar 31;8(1):30-36. Epub 2021 Mar 31.

Department of Pediatrics, Kyungpook National University School of Medicine, Daegu, Korea.

Objective: This study aimed to determine the factors that affect successful esophageal foreign body (FB) removal using a Foley catheter and to identify methods to increase the success rate.

Methods: In this retrospective, cross-sectional study, we included pediatric patients who presented with esophageal FB impaction that was removed using a Foley catheter in the emergency departments of tertiary care and academic hospitals. We analyzed the effect of the patients' age, sex, and symptoms; FB type, size, and location; Foley catheter size; complications during FB removal; duration between FB ingestion and removal; operator's years of training; sedation; success rate of FB removal; endoscopy; and patient's posture during FB removal on the success of Foley catheter-based FB removal. Read More

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Inpatient Pediatric Foreign Body Ingestion: National Estimates and Resource Utilization.

J Pediatr Gastroenterol Nutr 2021 07;73(1):37-41

Division of Gastroenterology, Department of Pediatrics.

Objective: We generated national estimates of patient and hospitalization characteristics for pediatric inpatient admissions for foreign body ingestion (FBI) and compared these to admissions for other reasons. We further identified characteristics that were independently associated with length of stay (LOS). Finally, we hypothesized that endoscopy within 24 hours of admission was independently associated with a shorter LOS in patients admitted for FBI. Read More

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A 3-year-old boy with rapid obstructive symptoms secondary to coin ingestion and gastric impaction.

J Am Coll Emerg Physicians Open 2021 Feb 25;2(1):e12382. Epub 2021 Jan 25.

Division of Pediatric Emergency Medicine, Department of Pediatrics Primary Children's Hospital Salt Lake Utah USA.

Foreign body ingestion is a common problem in children; blunt objects occur most frequently, and coins are the most common culprit. Rarely does coin ingestion lead to serious consequences other than esophageal impaction. In this report, we present the case of a healthy 3-year-old boy who developed rapid obstructive symptoms after the ingestion of a coin that required endoscopic retrieval from the stomach. Read More

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February 2021

Magnet Injuries in Children: An Analysis of the National Poison Data System from 2008 to 2019.

J Pediatr 2021 May 29;232:251-256.e2. Epub 2021 Jan 29.

Nationwide Children's Hospital, Columbus, OH; Department of Pediatrics, Ohio State University College of Medicine, Columbus, OH; Central Ohio Poison Center, Columbus, OH.

Objective: To examine, using the National Poison Data System (the data warehouse for poison control centers in the US), magnet foreign body injuries in pediatric patients. We sought to report demographic data, outcome data, and case trends between 2008 and 2019.

Study Design: We conducted a retrospective analysis of the National Poison Data System for patients younger than 19 years of age with a magnet "exposure," which poison centers define as an ingestion, inhalation, injection, or dermal exposure to a poison. Read More

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50 Years Ago in TheJournalofPediatrics: From Aspirin to Magnets: 50 Years of Pediatric Ingestions.

J Pediatr 2021 02;229:77

Department of Pediatrics, Children's Hospital at Montefiore & the Albert Einstein School of Medicine, Bronx, New York.

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February 2021

Small Rare Earth Magnets Adhered to Pharyngeal Tissue in a Pediatric Emergency Department Patient.

J Emerg Med 2021 Apr 19;60(4):e85-e88. Epub 2021 Jan 19.

Division of Pediatric Emergency Medicine, Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut.

Background: Small rare earth magnets pose a known health risk to children and many cases of ingestion and aspiration with associated complications have been described. More unusual, but also seen in children, are retained foreign bodies in the oropharynx that require extraction.

Case Report: We present the case of a 3-year-old boy with persistent left-sided sore throat 1 h after ingestion of several 3-mm spherical rare earth magnets. Read More

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A child with a foreign body in bronchus misdiagnosed as asthma.

Clin Case Rep 2020 Dec 21;8(12):2409-2413. Epub 2020 Jul 21.

Department of Medicine Population Health Research Institute McMaster University Hamilton ON Canada.

Foreign body ingestion should be considered as an important differential in a child with difficult asthma. We report an 11-year-old male child with foreign body aspiration who initially was diagnosed and treated as difficult asthma. Later on, he was diagnosed to have a foreign body in the right bronchus, which was successfully removed by flexible bronchoscopy. Read More

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December 2020

Not Just for Urine: A Versatile Tool for Foreign Body Removal.

Cureus 2020 Nov 17;12(11):e11536. Epub 2020 Nov 17.

Pediatric Surgery, Nemours Children's Hospital, Orlando, USA.

The swallowed or aspirated foreign body is a common pediatric emergency medicine complaint for which emergency providers must be familiar with the intricacies of management. Most swallowed foreign bodies will harmlessly pass through the GI tract, but children with GI tract abnormalities may have an increased risk of object impaction. There are few reported cases of foreign object ingestion in children with GI tract abnormalities, specifically ostomies. Read More

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November 2020

Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017.

BMC Pediatr 2020 12 18;20(1):560. Epub 2020 Dec 18.

Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Eythstr. 24, 89075, Ulm, Germany.

Background: Children with a history of caustic or foreign body ingestion (FBI) seem to be presenting more frequently to emergency departments. This study aims to elucidate the clinical presentation, diagnostic procedures, and complications associated with the ingestion of different object categories over a 13-year time period.

Methods: A structured retrospective data analysis of patients who presented between January 2005 and December 2017 to the University Medical Centre Ulm was performed. Read More

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December 2020

Diagnostic Yield of Endoscopic Procedures in Children: Experience of a Portuguese Center.

GE Port J Gastroenterol 2020 Nov 6;27(6):404-409. Epub 2020 May 6.

Department of Pediatrics, Centro Hospitalar Universitário de São João, Porto, Portugal.

Background: Over the last decades, the use of gastrointestinal (GI) endoscopic procedures has been increased in children worldwide, allowing the early diagnosis and therapeutic intervention in multiple GI diseases.

Aims And Methods: In order to evaluate the appropriateness and the diagnostic yield of initial GI endoscopic techniques in children in a Portuguese tertiary hospital, we performed a retrospective cohort study during a 12-month period.

Results: A total of 308 procedures were performed in 276 patients; the median age was 11 years and 50. Read More

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November 2020

Lockdown dilemma: ingestion of magnetic beads presenting as right iliac fossa pain and subacute small bowel obstruction.

BMJ Case Rep 2020 Nov 4;13(11). Epub 2020 Nov 4.

General Surgery, Surrey and Sussex Healthcare NHS Trust, Redhill, UK.

A 13-year-old girl presented with a 3-day history of migratory right iliac fossa pain. Observations and inflammatory markers were normal, and an ultrasound scan was inconclusive. A provisional diagnosis of non-specific abdominal pain or early appendicitis was made, and she was discharged with safety netting advice. Read More

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November 2020

The Fakir Child: Clinical Observation or Invasive Treatment?

Pediatr Rep 2020 Oct 29;12(3):103-107. Epub 2020 Oct 29.

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

Accidental swallowing of foreign bodies is a common problem among the pediatric population (6 months to 3 years), especially if the foreign body (FB) presents a sharp end that could potentially lead to perforation of the gastrointestinal (GI) tract, resulting in infection and complications. We report the case of a 2-year-old, admitted to the Emergency Department of our hospital after ingesting two FBs classifiable as sharp objects, specifically two metal nails, both approximately 4-cm long, which had been swallowed in one go, as reported by the parents. The patient had been previously admitted to another hospital in the same region, where the Emergency Department (ED) doctors took an X-ray to confirm the ingestion. Read More

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October 2020

A prickly situation: an attempted Caterpillar ingestion - case report.

J Otolaryngol Head Neck Surg 2020 Sep 29;49(1):70. Epub 2020 Sep 29.

Dalhousie Medicine New Brunswick, Saint John, New Brunswick, Canada.

Background: Foreign body ingestion is a common problem in pediatrics. Each foreign body can present its' own unique challenges during removal, and we present the management of an ingested Spotted Tussock Moth (Lophocampa maculata), more commonly known as a caterpillar.

Case Presentation: An 18-month-old boy presented to the emergency department with difficulty handling secretions and odynophagia. Read More

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September 2020

Managing Pediatric Foreign Body Ingestions: A 10-Year Experience.

Pediatr Emerg Care 2020 Sep 21. Epub 2020 Sep 21.

Division of Digestive Endoscopy, University of Messina, Messina.

Background: Foreign body (FB) ingestion is a common global issue in pediatrics. Most of the ingested FBs pass through the gastrointestinal tract, but up to 20% of cases require endoscopic removal. In this study, we retrospectively reviewed all pediatric cases of FB ingestion requiring endoscopic removal over a 10-year period in a tertiary hospital to compare the symptoms at presentation and outcomes with those reported in previous studies and to assess the association of the outcomes with patient and FB characteristics. Read More

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September 2020

Magnet Ingestions in Children Presenting to Emergency Departments in the United States 2009-2019: A Problem in Flux.

J Pediatr Gastroenterol Nutr 2020 12;71(6):699-703

Department of Pediatrics, Walter Reed National Military Medical Center.

Objectives: Small rare-earth magnet (SREM) ingestions are a dangerous, potentially fatal health hazard in children. The U.S. Read More

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December 2020

Serial MRI Findings After Endoscopic Removal of Button Battery From the Esophagus.

AJR Am J Roentgenol 2020 11 22;215(5):1238-1246. Epub 2020 Sep 22.

Department of Radiology, Division of Pediatric Radiology, Emory University School of Medicine, Children's Healthcare of Atlanta, 1405 Clifton Rd NE, Atlanta, GA 30322.

The purpose of this study was to evaluate findings at serial MRI after endoscopic removal of a button battery from the esophagus in a series of pediatric patients. Serial MRI examinations after removal of a button battery from the esophagus were reviewed retrospectively for the presence of mediastinal edema; imaging characteristics of the aorta and arteries; imaging characteristics of the trachea; and imaging characteristics of the esophageal wall at the level of injury. A total of 48 MRI examinations were performed on 19 patients, 89% (17/19) in the first 48 hours after battery removal. Read More

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November 2020

Generalised urticaria following ingestion of a nickel-plated coin in a 4-year-old girl.

BMJ Case Rep 2020 Sep 7;13(9). Epub 2020 Sep 7.

Division of Pediatric Surgery, McMaster University, Hamilton, Ontario, Canada.

We report the case of a 4-year-old girl who presented to the emergency department after ingestion of a nickel-plated coin. Abdominal radiographs confirmed the presence of a coin in her stomach but she was otherwise asymptomatic. She was discharged with assurances that the foreign body would pass spontaneously. Read More

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September 2020

Endoscopic Management of the Ascending Colon Perforation Secondary to a Rare-Earth Magnets Ingestion in a Pediatric Patient.

ACG Case Rep J 2020 Aug 10;7(8):e00436. Epub 2020 Aug 10.

Division of Pediatric Gastroenterology, Department of Pediatrics, Baylor College of Medicine at The Children's Hospital of San Antonio, San Antonio, TX.

Rare magnets (neodymium magnets) are high-powered magnets known to cause intestinal perforation if the intestinal mucosa is trapped in between 2 or several magnets. A bowel perforation in pediatric patients secondary to magnets is usually managed with a surgical intervention that might require enterectomy. We report a case of an 11-year-old boy who presented with abdominal pain and a finding on abdominal x-ray of radiopaque foreign bodies located in the ascending colon. Read More

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Foreign body and caustic ingestions in children: A clinical practice guideline.

Dig Liver Dis 2020 11 8;52(11):1266-1281. Epub 2020 Aug 8.

Pediatric Hepatology Gastroenterology and Transplantation, ASST Papa Giovanni XXIII, Bergamo, Italy.

Foreign body and caustic ingestions in children are usually the most common clinical challenges for emergency physicians, general pediatricians and pediatric gastroenterologists. Management of these conditions often requires different levels of expertise and competence. Endoscopy is often necessary but there is a high risk of misusing this tool with incorrect timing and indications. Read More

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November 2020

Occult Ingested Foreign Body: An Unusual Cause of Perimyocarditis.

J Emerg Med 2020 Oct 29;59(4):e127-e130. Epub 2020 Jul 29.

Department of Pediatrics, Division of Pediatric Cardiology, University of Massachusetts Medical School, Worcester, Massachusetts.

Background: Intracardiac foreign bodies have been described in the literature, however, they are rare entities, particularly in pediatric patients. We present a case of a teenage boy diagnosed with perimyocarditis who was found to have an unexpected underlying etiology: an unknowingly swallowed sewing pin.

Case Report: A 17-year-old boy presented to the Emergency Department with 3 days of chest pain suggestive of perimyocarditis, in the absence of prodromal symptoms or trauma. Read More

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October 2020

An unusual cause of appendectomy in a child (a sharp pin trapped in the appendix): a case report.

Oxf Med Case Reports 2020 Jul 24;2020(7):omaa049. Epub 2020 Jul 24.

Department of Pediatrics, Tishreen University Hospital, Lattakia, Syria.

Foreign bodies' (FBs) ingestion is a common problem among children and the psychologically deranged. Ingested FBs usually pass through the alimentary tract without any incident. They can rarely be placed in the appendix and may cause problems. Read More

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[Consultations for digestive foreign bodies ingestion in a pediatric emergency department.]

Rev Esp Salud Publica 2020 Jul 30;94. Epub 2020 Jul 30.

Servicio de Urgencias de Pediatría. Hospital Sant Joan de Déu. Esplugues de Llobregat. Barcelona. España.

Objective: Foreign body (FB) ingestion distresses many families who consult the emergency department promptly. The objective of the study is to determine the epidemiological characteristics of children who consult due to suspected FB intake and its consequences.

Methods: Descriptive-observational study, carried out in a third-level maternal and child center. Read More

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Foreign Body Esophageal Perforation Leading to Multifocal Brain Abscesses: A Case Report.

J Emerg Med 2020 Oct 18;59(4):e131-e135. Epub 2020 Jul 18.

Department of Emergency Medicine, Denver Health and Hospital Authority, Denver, Colorado.

Background: Among those aged 5 years or younger, foreign bodies are the fourth most common pediatric exposure reported to the American Association of Poison Control Centers. Although the majority of ingested foreign bodies pass through the gastrointestinal tract without complication, those that do not spontaneously pass can lead to a number of serious complications, such as gastrointestinal obstruction or perforation, which can be complicated by bleeding from aortoesophageal fistula, secondary mediastinitis, peritonitis, esophageal or gastrointestinal fistula formation, and abscesses.

Case Report: We present the case of a 10-month-old child who presented with new-onset focal seizure in the setting of multiple brain abscesses, ultimately found to be due to esophageal perforation from a retained, metallic esophageal foreign body. Read More

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October 2020

Magnet ingestion by children: A retrospective study in a medical center in Taiwan.

Pediatr Neonatol 2020 10 19;61(5):542-547. Epub 2020 Jun 19.

Wellem Medical Center, Shenzhen, China. Electronic address:

Background: The ingestion of multiple magnets may lead to severe complications including bowel obstruction, perforation, fistula, peritonitis, short bowel syndrome, life-threatening injuries, and even death. The annual case number of high-powered neodymium magnets ingestion has been increasing in the western world and the dearth of available data demonstrates that this issue has been neglected in Taiwan.

Methods: We searched the electronic medical records of our institution for patients younger than 18 years old who were diagnosed with, who had ever visited our emergency department, or been hospitalized for magnetic foreign body ingestion between January 2009 and March 2018. Read More

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October 2020