Endoscopic removal of an ingested pin migrated into the liver and affixed by its head to the duodenum

Akçam, Mustafa; Kockar, Cem; Tola, Hasan Tahsin; Duman, Levent; Gündüz, Mehmet

doi:10.1016/j.gie.2008.03.1084

Cited by 14 publications

(17 citation statements)

References 6 publications

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“…In our study, four of the foreign bodies were found to be in the duedonum. Our five-year old patient who ingested a pin was referred to our center three months later and the pin was removed from the duodenum by endoscopic method (32). It was found that the other foreign bodies in the duodenum left the GIS without any problem.…”

Section: Discussionmentioning

confidence: 99%

Foreign body ingestion in children

et al. 2015

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Aim: Foreign bodies ingested by the oral route enter into the gastrointestinal tract and are considered a significant health problem in the childhood. In this study, we evaluated the pediatric patients who presented to our hospital with the complaint of ingestion of foreign body. Material and Methods:The hospital records of all children who presented to our clinic because of ingestion of foreign body between January 2008 and January 2015 were examined retrospectively. The complaints at admission, the types of foreign bodies ingested, the localization of the foreign body in the gastrointestinal tract and the approaches and treatment methods used were examined.Results: Thirty-six (56%) of 64 patients included in the study were male and 28 (44%) were female and the mean age was 5.7±4.6 years (10 months-17 years). Thirty eight (59%) of 64 children who were included in the assessment were below the age of five years. The most common complaint at presentation was parental recognition of the ingested object and dysphagia. The most commonly ingested foreign bodies included coins, sewing pins, safety pins and hairclips. Nail clipper detected in the stomach, sewing pin which penetrated through the duodenal wall and stuck to hepatic parenchyma were the first pediatric cases in the literature. Upper esophagus was the most common location for foreign bodies. Endoscopic examinations were performed in 55 of 64 children. Conclusions:Early detection and treatment of ingested foreign bodies in the upper gastrointestinal system is important in terms of preventing possible complications. In our study, the most frequent foreign bodies detected in the upper digestive tract were coins and they were most frequently detected in the upper esophagus. Most of our patients were below the age of five years. Flexible endoscopic method was used commonly for treatment. (Turk Pediatri Ars 2015; 50: 234-40)

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Section: Discussionmentioning

confidence: 99%

Foreign body ingestion in children

et al. 2015

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“…Symptoms of ingestions are quite common if the FB is lodged in the upper-mid esophagus (pain, dysphagia, odynophagia, drooling). However a significant percentage of patients remain asymptomatic for weeks and delayed intestinal perforation, extra-luminal migration, abscess, peritonitis, fistula formation [68,[73][74][75], appendicitis, liver, bladder, heart, and lung penetration [76][77][78] and rupture of Copyright © ESPGHAN and NASPGHAN. All rights reserved.…”

Section: Esge/espghan Recommend Emergent (<2 Hours) Removal Of Sharp-mentioning

confidence: 99%

“…Rates of complications are higher in patients who are symptomatic, have a delay in diagnosis beyond 48 hours [81] or have swallowed a radiolucent foreign body [82,83]. Toothpick and bone ingestions present a high risk of perforation [76,82] and are the most common FB that require surgical removal [82]. Patients suspected of having swallowed sharp-pointed objects must be evaluated to define the location of the object.…”

Section: Esge/espghan Recommend Emergent (<2 Hours) Removal Of Sharp-mentioning

confidence: 99%

Paediatric Gastrointestinal Endoscopy

Thomson

Tringali

Dumonceau

et al. 2017

J. pediatr. gastroenterol. nutr.

196

244

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This guideline refers to infants, children, and adolescents ages 0 to 18 years. The areas covered include indications for diagnostic and therapeutic esophagogastroduodenoscopy and ileocolonoscopy; endoscopy for foreign body ingestion; corrosive ingestion and stricture/stenosis endoscopic management; upper and lower gastrointestinal bleeding; endoscopic retrograde cholangiopancreatography; and endoscopic ultrasonography. Percutaneous endoscopic gastrostomy and endoscopy specific to inflammatory bowel disease has been dealt with in other guidelines and are therefore not mentioned in this guideline. Training and ongoing skill maintenance are to be dealt with in an imminent sister publication to this.

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“…The FBs retained were: sewing needle (9) [ 2 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ], medical device (3) [ 4 , 5 , 21 ], gun pellet (2) [ 22 , 23 ], and pin (2) [ 24 , 25 ] The medical devices consisted in the distal part of a ventricular-peritoneal shunt [ 4 ], a gastrostomy bumper that was incorrectly inserted through the abdominal wall via the anterior surface of the left liver lobe [ 5 ] and a Kirshner wire that migrated to the liver from the hip [ 21 ].…”

Section: Resultsmentioning

confidence: 99%

Epidemiology and Surgical Management of Foreign Bodies in the Liver in the Pediatric Population: A Systematic Review of the Literature

et al. 2022

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Retention of foreign bodies (FB) in the liver parenchyma is a rare event in children but it can bring a heavy burden in terms of immediate and long-term complications. Multiple materials can migrate inside the liver. Clinical manifestations may vary, depending on the nature of the foreign body, its route of penetration and timing after the initial event. Moreover, the location of the FB inside the liver parenchyma may pose specific issues related to the possible complications of a challenging surgical extraction. Different clinical settings and the need for highly specialized surgical skills may influence the overall management of these children. Given the rarity of this event, a systematic review of the literature on this topic was conducted and confirmed the pivotal role of surgery in the pediatric population.

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Endoscopic removal of an ingested pin migrated into the liver and affixed by its head to the duodenum

Cited by 14 publications

References 6 publications

Foreign body ingestion in children

Foreign body ingestion in children

Paediatric Gastrointestinal Endoscopy

Epidemiology and Surgical Management of Foreign Bodies in the Liver in the Pediatric Population: A Systematic Review of the Literature

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