Hemopericardium Caused by Ingested Safety Pin

Kalaycı, Ayhan Gazi; Baysal, Kemal; Uysal, Serkan; Saraç, Ahmet; Bernay, Ferit; Gebesoglu, F.

doi:10.1055/s-2002-19388

Cited by 12 publications

(13 citation statements)

References 2 publications

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“…FBs which are smooth may pass into intestine without any symptoms while sharp or irregular shape FBs may cause complications such as TEF, esophageal perforation, aortoesophageal fistula etc. [1][2][3][4][5][6]. In our case, FB had stuck in esophagus for undocumented time and its sharp flanges eroded posterior esophageal wall and then trachea.…”

Section: Discussionmentioning

confidence: 92%

Ingested Metallic Spool: A Rare Cause of Acquired Tracheoesophageal Fistula

Hashim¹,

Talat²

2017

APSP J Case Rep

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Foreign body (FB) ingestion is a common problem in children. Prolonged impaction of FB in esophagus may result in tracheoesophageal fistula (TEF). A 6-year-old girl presented with progressive dysphagia and recurrent chest infections. No history of FB ingestion was given by parents. Further investigations revealed FB (spool) in cervical esophagus. Patient was successfully managed by surgery through trans-cervical approach.Key words: Foreign body; Metallic spool; Tracheoesophageal fistula; Child. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. CASE REPORTA 6-year-old girl presented to the pediatric ENT department with fever, cough and respiratory distress for 5 months. She also had progressive dysphagia with infrequent non-bilious vomiting. On examination, she was febrile (1000F), pulse 100/min, and respiratory rate of 30/min. All laboratory investigations were within normal limits. On chest X-ray a metallic foreign body was found (Fig. 1). The child was developmentally normal and neither gave any history of FB ingestion nor did her parents knew about it. On CT scan chest, there were bilateral pulmonary infiltrates due to recurrent chest infections. In addition, there was a visible foreign body with two prongs at the level of upper trachea. Esophago-bronchoscopy was done by ENT department. An impacted old metallic foreign body at cervical esophagus level with lot of granulation tissue and edema was found. It could not be retrieved at endoscopy. A second attempt also failed.Patient was shifted to our department for surgical removal of the FB. On exploration through cervical approach, a spool was found stuck in the cervical part of the esophagus (Fig. 2).

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Section: Discussionmentioning

confidence: 92%

Ingested Metallic Spool: A Rare Cause of Acquired Tracheoesophageal Fistula

Hashim¹,

Talat²

2017

APSP J Case Rep

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“…These complications include hemopericardium associated with the ingestion of safety pins (3), gastric mucosal injury related to the ingestion of batteries (4), tracheoesophageal fistula (5), aspiration pneumonia (10), aortoesophageal fistula (7); duedono-sigmoid fistula (8), esophageal perforation (9), and hemorrhage of GID (10). Severe complications include ingestion difficulty, pain, zinc toxicity, bezoar formation, and intestinal perforation associated with ingestion of coins (11)(12)(13) (2)(3)(4)(5). In our country, the study by Aydoğdu et al (16) revealed that the commonly ingested objects include evil eye talismans and their safety pin, followed by pins for a turban.…”

Section: Discussionmentioning

confidence: 99%

“…These publications are either case reports based on developed complications or a listing of all foreign bodies (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13). The ingestion of foreign bodies mostly occurs under the age of 5; during this period, children have the instinct of putting anything in the mouth, and incompletely developed functions of eating and chewing result in ingestion.…”

Section: Introductionmentioning

confidence: 99%

Metallic Foreign Body Ingestion During Childhood; the Experience of a University Hospital in Turkey

Yüce¹,

Açıkgöz²,

Güzel³

et al. 2015

JAEM

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Aim: Metallic foreign body (MFB) ingestion is a common problem in the pediatric population. Morbidity and mortality rates are low in foreign body ingestion during childhood, but it may lead to anxiety in parents. Materials and Methods:We aimed to analyze the clinical presentation, etiology, and management of MFB ingestion. The records of children admitted with a history of MFB ingestion were retrospectively reviewed. Data regarding gender, age, type of foreign body, management, and outcome (outcomes) were recorded.Results: Of the 151 children included, 67 (44.4%) were male and 84 (55.6%) female. The mean age was 49.3±39.2 months. Coins, in 108 patients (71.5%), were the most commonly ingested foreign bodies, followed by batteries in 19 patients (12.6%), and other metallic objects. The foreign bodies were located in the esophagus in 70 (46.4%) patients, the stomach in 29 (19.2%), and the small intestine in 52 (34.4%). Endoscopic interventions were performed in 69 patients (45.6%). One patient who swallowed a battery was operated because of acute abdomen.Conclusion: MFB ingestion may appear as an emergency condition of a preventable cause in domestic accidents. It must not be forgotten that in addition to protective measures, early intervention in the emergency department is a significant factor in reducing mortality associated with this condition. (JAEM 2015; 14: 79-82)

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“…Foreign body ingestion by children is commonly seen, but ingestion of SP is not very common [2]. The majority of foreign bodies passes harmlessly through the gastrointestinal tract and is eliminated in the stool.…”

Section: Discussionmentioning

confidence: 99%

“…Foreign body ingestion is a common pediatric emergency, since small children tend to put all objects in their mouths after the age of 6 months due to their oral orientation [1][2][3]. The peaks of such ingestion incidences occur between 6 months and 3 years [3].…”

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confidence: 99%