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ECR 2019 / C-3297
Beware of what your child is eating!
Congress: ECR 2019
Poster No.: C-3297
Type: Educational Exhibit
Keywords: Patterns of Care, Foreign bodies, Education and training, History, Diagnostic procedure, Complications, Ultrasound, CT, Conventional radiography, Paediatric, Emergency
Authors: S. Sajid, M. Qasem, S. Sajid, T. Salem Alyafei; Doha/QA
DOI:10.26044/ecr2019/C-3297

Background

  • Foreign body ingestion / aspiration and inhalation is a common presentataion in Pediatric Emergency (1).
  • Although many studies related to clinical aspects and management of foreign bodies in children are present in literature, only fewer could be found regarding radiological evaluation of aerodigestive, nasal, vaginal, subcutaneous and incidental foreign bodies in children(4,12).
  • Coins are the most common type of ingested foreign bodies and aerodigestive airways is the most common route of entry(3,4). Ususally the cases of foreign body ingestion are accidental and witnessed however, in some cases they are un-noticed and children present with symptoms of obstruction or abdominal pain. In most of the cases, coins pass through the entire gastrointestinal tract and are eventually passed in stools without any complications. In cases where they present with symptoms or are stuck in esophagus or stomach, they need to be promptly removed by endoscopy to prevent complications (6,9).
  • Other foreign bodies include button batteries; which are dangerous and requires aggessive management(1,2). Fruit seeds, magnets and pieces of toys are some other common inhaled/ ingested foreign bodies by children(4,11).
  • Skin and subcutaneous tissues is another less common route of entry for foreign bodies in children (5,8).
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