Diagnosis of Pediatric Foreign Body Ingestion

Sink, Jacquelyn R.; Mehta, Deepak; Georg, Matthew W.; Simons, Jeffrey P.

doi:10.1177/0003489415611128

Cited by 39 publications

(19 citation statements)

References 33 publications

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“…1 The most common characteristics, clinical history, and endoscopic findings of paediatric patients with OFBs are shown in Table 1. 1,2 …”

Section: Discussionmentioning

confidence: 99%

“…For this reason, the coexistence of respiratory symptoms (e.g., metallic cough and choking) and gastrointestinal manifestations (e.g., dysphagia, drooling, and vomiting) should be recognized as “red flags” and promptly alert the physician to exclude an OFB. 1 …”

Section: Discussionmentioning

confidence: 99%

“…OFBs are often complicated by significant morbidity and mortality because their ingestion often occurs without a witness, leading to a delay in diagnosis and treatment. 1 …”

Section: Introductionmentioning

confidence: 99%

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An oesophageal spring

et al. 2018

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Oesophageal foreign bodies (OFBs) are a relatively common emergency in young children. OFBs are complicated by significant morbidity and mortality because their ingestion often occurs without witnesses, leading to a delay in diagnosis and treatment. We report an occult OFB in an 11-month-old infant who initially presented without any specific respiratory symptoms, mimicking a respiratory infection. Worsening of the patient’s cough, which did not show any improvement, despite treatment, and progressive onset of gastrointestinal manifestations (dysphagia, vomiting, and drooling) led to the diagnosis of an OFB (metallic spring). The complex and long-term clinical course of the patient highlights the need of promptly recognizing the presence of an occult OFB. This is because rapid diagnosis and treatment are essential for preventing severe and sometimes irreversible complications.

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“…1 The most common characteristics, clinical history, and endoscopic findings of paediatric patients with OFBs are shown in Table 1. 1,2 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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An oesophageal spring

et al. 2018

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“…[25,26] Fortunately, most foreign bodies (>80%) are radio-opaque. [5,16] Fluoroscopy and occasionally sonography may be useful to detect radiolucent objects, but a low index of suspicion is required for endoscopic evaluation in these cases.…”

Section: Complicationsmentioning

confidence: 99%

“…A history of such ingestion may be absent, as ingestion is witnessed in as few as a quarter of all cases, [16] making timely diagnosis and treatment challenging. Peri-oral burns may cause dysphagia and drooling lasting a few hours to weeks.…”

mentioning

confidence: 99%

Prevention of ingestion injuries in children

Arnold

Numanoglu

2017

S Afr Med J

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A case of corrosive tracheoesophageal fistula: A complication of button battery ingestion

Mlay,

Kipiki,

Minja

et al. 2024

Clinical Case Reports

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Key Clinical MessageButton battery ingestion has been a common condition encountered by otorhinolaryngologists. Impaction in the esophagus can lead to serious and fatal complications such as tracheoesophageal fistula. Management involves a multidisciplinary team and varies from supportive therapy to surgical intervention.AbstractIngestion of button batteries has been seen with increasing frequency over the past decade. In several small numbers of reported cases, their impaction in the esophagus has led to severe, sometimes fatal, complications. The management of these cases has varied from expectant, supportive therapy to early surgical intervention. We report a case of button battery ingestion that was diagnosed late and resulted in a complication of tracheoesophageal fistula with migration to the thorax which was managed by open surgery.

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Diagnosis of Pediatric Foreign Body Ingestion

Cited by 39 publications

References 33 publications

An oesophageal spring

An oesophageal spring

Prevention of ingestion injuries in children

A case of corrosive tracheoesophageal fistula: A complication of button battery ingestion

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