Aims and objectives
Plain radiographs still play an essential role in the assessment of ingested foreign bodies in the pediatric patient: plain films of the neck,
and abdomen are very useful in confirming the diagnosis of foreign bodies ingestion because most ingested foreign bodies are radiopaque .
Radiography is the most important modality in the evaluation of ingested or aspirated foreign bodies; however,
fluoroscopy and computed tomography play an ancillary role in complicated cases .
Methods and materials
During the last ten years,
634 children under 14 years old admitted to the emergency with gastrointestinal foreign bodies: 335 hospitalized and 299 were outpatients.
They passed different departments including radiology,
ENT and GI surgical departments.
X-ray examinations help to define radiopaque metallic foreign bodies in 594 children.
Non-metallic foreign bodies had 40 children: 3 – radiopaque (7,5%) and 37 – radiolucent (92,5%).
There were 23 (57%) boys and 17 (43%) girls from 5...
The majority of children (79,5%) admitted to the hospital during 0,5-6 hours after foreign bodies engaging (Table 1). Time in hours Children number Children % <0,5 3 8,5 1,0 9 22,5 2,0 5 12,5 3,0 4 10,0 4,0 3 8,5 6,0 7 17,5 7,0 2 5,0 8,0 2 5,0 24,0 3 8,5 72,0 1 2,5 >120,0 1 2,5 40 100,0 Table 1.
The time distribution betweenchildrenadmission to the hospital and foreign bodies engaging. We combine plane x-ray (40 cases) with contrast x-ray (9 cases),
low-dose CT-scan (7 cases),
Non-metallic foreign bodies making up only 6,3% of the total number of children engage foreign bodies.
Despite the small number of children ingested non-metal foreign bodies to exclude late diagnosis and severe gastrointestinal complications,
there are the needs to combine different radiological methods with clinical examination and endoscopy.
Radiolucent non-metal foreign bodies with minimal clinical symptoms are most complicated for diagnosis and treatment: 10-11 months’ children more...
Astvatsamayr Medical Center,
Department of Radiology Address: Artashisian str.
Armenia Endovision Medical Center E-mail: firstname.lastname@example.org
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DOI: 10.1053/j.sult.2014.10.008. 2. Pugmire BS , Lim R , Avery LL .
(2015) Review of Ingested and AspiratedForeign Bodiesin Children and Their Clinical Significance for Radiologists.Radiographics.2015 Sep-Oct; 35(5):1528-38.
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