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Sonographic diagnosis of gastric-outlet foreign body: case report and review of literature.

Moammar H, Al-Edreesi M, Abdi R - J Family Community Med (2009)

Bottom Line: We describe a toddler who presented with persistent vomiting and dehydration.A plain radiograph of the abdomen did not reveal a foreign body.This was extracted by upper endoscopy.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, King Faisal University, Asir Province, Saudi Arabia.

ABSTRACT
The diagnosis of unsuspected foreign body ingestion is a common problem in children. We describe a toddler who presented with persistent vomiting and dehydration. A plain radiograph of the abdomen did not reveal a foreign body. However, abdominal ultrasonography promptly identified a funnel-shaped foreign body obstructing the gastric outlet. This was extracted by upper endoscopy. A recent review of the literature shows increasing evidence that abdominal ultrasonography is an equally complementary diagnostic modality for ingested foreign bodies in children.

No MeSH data available.


Related in: MedlinePlus

Abdominal radiograph showed a relative paucity of gas in the gut. The faint radio-density (arrow) which represented the foreign body was noted retrospectively.
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Figure 1: Abdominal radiograph showed a relative paucity of gas in the gut. The faint radio-density (arrow) which represented the foreign body was noted retrospectively.

Mentions: A 19-month old toddler presented with a one- week history of persistent non-bilious vomiting and intolerance of oral fluids and solids. The vomiting was associated with abdominal distention and a low-grade fever. There was no history of diarrhea, choking or the witnessing of the ingestion of a foreign body. Physical examination revealed a distended abdomen with increased bowel sounds, but no tenderness and no organomegaly. The patient was hospitalized with the clinical diagnosis of gastritis with moderate dehydration. The vomiting ceased with intravenous hydration and keeping the patient on nil by mouth. As he was restarted on clear oral fluids, the vomiting recurred. Flat film of the abdomen showed paucity of gas in the gut which was reported as normal. The suspicion of a faint radio-density projecting over the stomach was seen retrospectively following the results of the abdominal sonography (Figure 1).


Sonographic diagnosis of gastric-outlet foreign body: case report and review of literature.

Moammar H, Al-Edreesi M, Abdi R - J Family Community Med (2009)

Abdominal radiograph showed a relative paucity of gas in the gut. The faint radio-density (arrow) which represented the foreign body was noted retrospectively.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3377018&req=5

Figure 1: Abdominal radiograph showed a relative paucity of gas in the gut. The faint radio-density (arrow) which represented the foreign body was noted retrospectively.
Mentions: A 19-month old toddler presented with a one- week history of persistent non-bilious vomiting and intolerance of oral fluids and solids. The vomiting was associated with abdominal distention and a low-grade fever. There was no history of diarrhea, choking or the witnessing of the ingestion of a foreign body. Physical examination revealed a distended abdomen with increased bowel sounds, but no tenderness and no organomegaly. The patient was hospitalized with the clinical diagnosis of gastritis with moderate dehydration. The vomiting ceased with intravenous hydration and keeping the patient on nil by mouth. As he was restarted on clear oral fluids, the vomiting recurred. Flat film of the abdomen showed paucity of gas in the gut which was reported as normal. The suspicion of a faint radio-density projecting over the stomach was seen retrospectively following the results of the abdominal sonography (Figure 1).

Bottom Line: We describe a toddler who presented with persistent vomiting and dehydration.A plain radiograph of the abdomen did not reveal a foreign body.This was extracted by upper endoscopy.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, King Faisal University, Asir Province, Saudi Arabia.

ABSTRACT
The diagnosis of unsuspected foreign body ingestion is a common problem in children. We describe a toddler who presented with persistent vomiting and dehydration. A plain radiograph of the abdomen did not reveal a foreign body. However, abdominal ultrasonography promptly identified a funnel-shaped foreign body obstructing the gastric outlet. This was extracted by upper endoscopy. A recent review of the literature shows increasing evidence that abdominal ultrasonography is an equally complementary diagnostic modality for ingested foreign bodies in children.

No MeSH data available.


Related in: MedlinePlus