Ultrasound of foreign bodies in gastrointestinal tract removed at Children’s Hospital 1 case report
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Abstract
Objectives: We reviewed ultrasound features of all cases of foreign bodies in the upper gastrointestinal tract that underwent endoscopic or surgical removal at Children’s Hospital N1 from 1/2018 to 4/2019.
Method: retrospective case.
Results: From 1/2018 to 4/2019, 7 cases were included. Mean age was 7,9 years old. Boy to girl ratio was 5/2. 5/7 cases were radiolucent foreign bodies, toothpick mostly. The positions were one oesophageal, 2 gastric và 4 duodenal. All cases were diagnosed correctly by ultrasound before intervention. 4/7 cases underwent surgical removal, 3 cases underwent endoscopic removal. The signs of right-side retroperitoneal oedema and fluid collection surrounding right kidney on ultrasound were highly suspected of posterior D3 duodenal wall perforation due to foreign bodies.
Conclusion: Foreign bodies in the upper gastrointestinal tract can cause dangerous complications in case of late diagnosis. Ultrasound can help find radiolucent as well as radiopaque objects. We should know typical ultrasound features of some foreign bodies and common sites of complication in order to predict the object and the location exactly to give proper management.
Article Details
Keywords
foreign bodies, ultrasound, children
References
2. Ahlawat R, Ross AB (2019). “Esophagogastroduodenoscopy”, NCBI, URL: https://www.ncbi.nlm.nih.gov/books/NBK532268/, access on 05/03/2019
3. Al-Salem AH (2011). “Two Unusual Gastrointestinal Foreign Bodies”, ISRN Surgery, doi: 10.5402/2011/187343, pp. e1-4.
4. Dal F, Hatipoğlu E, Teksöz S, Ertem M (2018). “Foreign body: A sewing needle migrating from the gastrointestinal tract to pancreas”, Turk J Surg, 34 (3), pp. 256-258.
5. Deveci U et al (2014). “Foreign body in liver: Sewing needle”, Turk J Gastroenterol , 25 (6), pp. 737-738.
6. Gheibi S, Baluch MV (2016). “Conservative Management of Duodenal Perforation with Toothpick in a 9-Year Old Girl; a Case Report”, Int J Pediatr, 4 (10), pp. 3609-3613.
7. Hesham A, Kader H, et al (2010). “Foreign body ingestion: children like to put objects in their mouth”, World J Pediatr, 6 (4), pp. 301-310.
8. Hosokawa T et al (2016). “Role of Sonography for Evaluation of Gastrointestinal Foreign Bodies”, J Ultrasound Med, 35 (12), pp. 2723–2732.
9. Jeckovic M, Anupindi SA, Barbir SB, Lovrenski J (2013). “Is ultrasound useful in detection and follow-up of gastric foreign bodies in children?”, Clin Imaging, 37, pp. 1043–1047.
10. Kramer RE et al (2015). “Management of Ingested Foreign Bodies in Children”, J Pediatr Gastroenterol Nutr., 60 (4), pp. 562-574.
11. Lee JH (2018). “Endoscopic Removal of Foreign Body”, Clin Endosc., 51 (2), pp. 129-136.
12. Moammar H et al (2009). “Sonographic diagnosis of gastric-outlet foreign body: case report and review of literature”, J Family Community Med.,16(1), pp. 33–36.
13. Ozkan J et al (2011). “An interesting journey of an ingested needle: a case report and review of the literature on extraabdominal migration of ingested Foreign bodies”, Journal of Cardiothoracic Surgery, doi: 10.1186/1749-8090-6-77, pp. e1-4.
14. Plowman RS et al (2018). “A radiolucent esophageal foreign body: Diagnosis, management, and potential complications”, Applied radiology, pp. 28-29.
15. Ragazzi M, Monica MD, et al (2010). “Toothpick Ingestion Causing Duodenal Perforation”, Pediatric Emergency Care, 26 (7), pp. 506-507.
16. Ripollés T et al (2001). “Gastrointestinal Bezoars: Sonographic and CT Characteristics”, AJR Am J Roentgenol, 177 (1), pp. 65–69.
17. Rybojad B et al (2012). “Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study”, The Scientific World Journal, doi: 10.1100/2012/102642, pp. e1-6.
18. Tseng HJ et al (2015). “Imaging Foreign Bodies: Ingested, Aspirated, and Inserted”, Ann Emerg Med., 66 (6), pp. 570-582.