A case of ingested water beads diagnosed with point-of-care ultrasound

Kim, Hye Bo; Kim, Yu Bin; Ko, Yura; Choi, Yoomi; Lee, Jisook; Kim, Jung Heon

doi:10.15441/ceem.20.041

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…방사선 투과성을 띠는 수정토는 일반영상에서는 보이지 않고 컴퓨터단층촬영 또는 초음파에서 장 내부의 둥근 종괴로 발견되는 경우가 종종 있어, 장중복증 및 난소낭종 등으로 의심되는 경우가 많다 3,6,7) . 초음파에서 수정토가 경계가 명확하고 둥근 저에코 낭종으로 보인다는 점을 인지하고, 수정토를 가지고 놀았던 환자가 본 증례처럼 장폐쇄를 시사하는 증상을 보인다면, 조기에 응급현장초음파(point-of-care ultrasound)를 시행하는 것이 바람직하다 6) . 초음파를 이용해 수정토의 위치를 파악하면, 조기에 내시경을 시행하여 불필요한 수술을 피하는 데에 도움이 될 수 있다 6) .…”

Section: 그러나 수정토는 여전히 촉감놀이 도구로 인기를 얻고 있다unclassified

“…초음파에서 수정토가 경계가 명확하고 둥근 저에코 낭종으로 보인다는 점을 인지하고, 수정토를 가지고 놀았던 환자가 본 증례처럼 장폐쇄를 시사하는 증상을 보인다면, 조기에 응급현장초음파(point-of-care ultrasound)를 시행하는 것이 바람직하다 6) . 초음파를 이용해 수정토의 위치를 파악하면, 조기에 내시경을 시행하여 불필요한 수술을 피하는 데에 도움이 될 수 있다 6) . 수정토 섭취에 의한 장폐쇄를 수술로 치료한 증례는 한국, 미국, 인도, 캐나다 등에서 여러 차례 보고됐다 [7][8][9][10] .…”

Section: 그러나 수정토는 여전히 촉감놀이 도구로 인기를 얻고 있다unclassified

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Two cases of intestinal obstruction due to ingestion of water beads

Kim¹,

Lee²,

Ahn³

et al. 2022

Pediatr Emerg Med J

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Water beads are small, colorful toys that swell over the time in water. We report 2 cases of intestinal obstruction by unwitnessed ingestion of water beads. The diagnosis of each case was made by exploratory laparoscopy or comprehensive ultrasonography. The water beads were removed surgically in both cases. Since their ingestion can cause intestinal obstruction, water beads should not be allowed as toys for children.

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Section: 그러나 수정토는 여전히 촉감놀이 도구로 인기를 얻고 있다unclassified

Two cases of intestinal obstruction due to ingestion of water beads

Kim¹,

Lee²,

Ahn³

et al. 2022

Pediatr Emerg Med J

View full text Add to dashboard Cite

show abstract

“…Their management is difficult because they are radiolucent and pass quickly through the proximal GI tract without getting large enough to cause obstruction. A small number of cases of intestinal obstruction have been reported, one of which resulted in death due to postoperative sepsis [ 58 59 60 61 62 ]. A study [ 63 ] reported that 21 asymptomatic children who ingested a superabsorbent object did not undergo endoscopic or surgical procedures and did not develop signs of obstruction during their follow-ups.…”

Section: Introductionmentioning

confidence: 99%

Management of Gastrointestinal Foreign Bodies with Brief Review of the Guidelines

Demirören

2023

Pediatr Gastroenterol Hepatol Nutr

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Foreign body (FB) ingestion is a common health problem that affects children more than adults. According to gastroenterologists’ guidelines, the management of FB ingestion differs slightly between adult and children. This review aimed to compile adult and children guidelines and establish an understandable association to reveal the requirements and timing of the endoscopic procedure, which is the most effective and least complicated technique for gastrointestinal FBs. Coins, pins, and chicken and fish bones have been the most commonly ingested FBs. However, with their increasing use in recent years, large batteries with lithium-ion conversion, stronger magnets composed of rare earth metals, such as neodymium, and superabsorbent objects have become the most morbid and mortal, necessitating new management strategies. Although the approach to gastrointestinal FBs is controversial, with different treatment options available in different disciplines, many studies have demonstrated the efficacy and safety of endoscopic procedures. Many factors influence the timing of endoscopy, including the nature, size, and location of the ingested object and the patient’s clinical condition.

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Usefulness of ultrasonography in diagnosis of intestinal obstruction by a water bead

Kim¹,

Jung²,

Choi³

et al. 2023

Pediatr Emerg Med J

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Water beads are dangerous foreign bodies causing intestinal obstruction in young children because the beads absorb water and are radiolucent. Although the features lead to progressive intestinal obstruction, it is difficult to diagnose ingestion of the beads by imaging studies. For the diagnosis, ultrasonography is safe, fast, and accurate. The imaging modality can show intestinal water beads as spherical, anechoic, smoothly demarcated cysts. This characteristic finding may be more useful in rapid and accurate diagnosis than computed tomography scan.We report a case of an 8-month-old boy who obtained a timely sonographic diagnosis of water bead-induced small bowel obstruction in the emergency department.

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A case of ingested water beads diagnosed with point-of-care ultrasound

Cited by 3 publications

References 6 publications

Two cases of intestinal obstruction due to ingestion of water beads

Two cases of intestinal obstruction due to ingestion of water beads

Management of Gastrointestinal Foreign Bodies with Brief Review of the Guidelines

Usefulness of ultrasonography in diagnosis of intestinal obstruction by a water bead

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