Pencil spring ingestion in a neonate- a rare occurrence with cecal perforation: A case report

Authors

  • Muhammad Kamran Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore
  • Saleem Ullah Khan Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore
  • Muhammad Saleem Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore
  • Asif Iqbal Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore
  • Imran Hashim Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore
  • Javed Iqbal Khan Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore
  • Zubair Shoukat Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore

DOI:

https://doi.org/10.46831/jpas.v1i1.11

Keywords:

Foreign body, Pencil spring, Neonate, Cecal perforation

Abstract

Background: Foreign body (FB) ingestion is relatively common in the pediatric population. However, it is a rare occurrence in neonates and intestinal perforation due to ingested FB is once in a blue moon event.

Case Presentation: Here we present a case of accidental FB ingestion by a neonate leading to a rare complication. The patient was received in vitally unstable condition and exploratory laparotomy was performed after initial resuscitation. The intra-operative findings included perforation of the cecum, which was repaired with a covering stoma. The postoperative period was uneventful, and stoma was reversed later.

Conclusion: Foreign body ingestion is possible in neonates, though very rare, and can lead to fatal complications If not detected and treated in time.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Muhammad Kamran, Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore

Resident

Saleem Ullah Khan, Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore

Resident

Muhammad Saleem, Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore

Head of Department,

Medical Director,

Editor in Chief, JPAS

Asif Iqbal, Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore

Senior Registrar

Imran Hashim, Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore

Assistant Professor

Javed Iqbal Khan, Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore

Assistant Professor

Zubair Shoukat, Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore

Senior Resident

References

Singh R, Pandit C, Gupta D, Vajifdar H. Foreign body esophagus in a neonate: Unusual age and unusual presentation. J Anaesthesiol Clin Pharmacol. 2012; 28: 258-60.

Mohammed Z, Kanojia RP, Thapa BR, Rao K. Foreign body oesophagus: A common occurrence at an uncommon age. Afr J Pediatr Surg. 2010; 7:114-6.

Khan SU, Kamran M, Rehman A, Ramzan M, Hashim I, Malik MR. A rare case of foreign body ingestion, mimicking as mesenteric cyst. “Case Report”. Pak J Surg Med. 2020; 1:56. Available from: htps://doi.org/10.5281/zenodo.3595017.

Kamran M, Mirza Q, Haq Z, Alamgir A, Baig MM. Foreign bodies in ear, nose and throat - a clinical audit. J Rawalpindi Med Coll (JRMC). 2017; 21:72-4.

Pujar VC, Joshi S, Dhaded S. Unusual cause of esophageal obstruction in a neonate presenting as esophageal atresia. J Neonatal Surg. 2013; 2: 47.

Singh H, Dhingra B, Yadav D, Aggarwal V. Esophageal foreign body in a neonate: An unusual age of presentation. J Nepal Paediatr Soc. 2012: 32: 79-80.

Sink JR, Kitsko DJ, Mehta DK, Georg MW, Simons JP. Diagnosis of pediatric foreign body ingestion: clinical presentation, physical examination, and radiologic findings. Ann Otol, Rhinol Laryngol. 2016; 125:342-50.

Wahbeh G, Wyllie R, Kay M. Foreign body ingestion in infants and children: Location, location, location. Clin Pediatr (Phila) 2002; 41:633-40.

Chung JH, Kim JS, Song YT. Small bowel complication caused by magnetic foreign body ingestion of children: two case reports. J Pediatr Surg. 2003; 38:1548-50. Available from: https://doi.org/10.1016/s0022-3468(03)00514-1.

Cross KM, Holland AJ. Gravel gut: small bowel perforation due to a blunt ingested foreign body. Pediatr Emerg Care. 2007; 23: 106-8.

Mirza B, Ijaz L, Sheikh A. Decorative crystal balls causing intestinal perforation. J Indian Assoc Pediatr Surg. 2011; 16:106-7.

Bini M. Gastrointestinal Foreign Bodies: Clinical aspects and endoscopic management. J Gastroenterol Hepatol Res. 2015; 4: 1524-32. Available from: http://www.ghrnet.org/index.php/joghr/article/view/1123.

Published

2020-08-31

How to Cite

1.
Kamran M, Khan SU, Saleem M, Iqbal A, Hashim I, Khan JI, Shoukat Z. Pencil spring ingestion in a neonate- a rare occurrence with cecal perforation: A case report. J Pediatr Adolesc Surg [Internet]. 2020Aug.31 [cited 2020Oct.28];1(1):50-2. Available from: http://jpedas.org/ojs/index.php/jpedas/article/view/11
Share |

Most read articles by the same author(s)