Ultrasound of foreign bodies in gastrointestinal tract removed at Children’s Hospital 1 case report

Dr Do Thanh Thuy1,, Dr Le Thi Uyen Phuong1, Dr Nguyen Bui Thuy Diem1, Dr Vu Thi Hoa Dao1, Dr Nguyen Huu Chi1
1 Children's Hospital 1

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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.

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References

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