Pencil spring ingestion in a neonate- a rare occurrence with cecal perforation: A case report
DOI:
https://doi.org/10.46831/jpas.v1i1.11Keywords:
Foreign body, Pencil spring, Neonate, Cecal perforationAbstract
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
Metrics
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
How to Cite
Issue
Section
License
Copyright (c) 2020 Muhammad Kamran, Saleem Ullah Khan, Muhammad Saleem, Asif Iqbal, Imran Hashim, Javed Iqbal Khan, Zubair Shoukat
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.