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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

On upper gastroscopy, the stomach looked normal but hugely dilated with a foreign body partly impacted in the pyloric channel. The major part of the foreign body was lodged in the stomach
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Figure 3: On upper gastroscopy, the stomach looked normal but hugely dilated with a foreign body partly impacted in the pyloric channel. The major part of the foreign body was lodged in the stomach

Mentions: An urgent upper gastroscopy was performed under general anaesthesia. The procedure revealed a normal but hugely dilated stomach with a funnel-shaped plastic foreign body impacting and completely obstructing the pylorus (Figure 3). The foreign body was extracted (Figure 4) with a snare and forceps. The patient was discharged home 24 hours following gastroscopy on a regular diet and ranitidine for mild esophageal erosions. The specimen was examined by the pathologist who confirmed a pink funnel-shaped structure measuring 2.3×2×2 centimeters. Similar plastic objects are typically fixed to balloons as handles and are readily available to children.


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)

On upper gastroscopy, the stomach looked normal but hugely dilated with a foreign body partly impacted in the pyloric channel. The major part of the foreign body was lodged in the stomach
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: On upper gastroscopy, the stomach looked normal but hugely dilated with a foreign body partly impacted in the pyloric channel. The major part of the foreign body was lodged in the stomach
Mentions: An urgent upper gastroscopy was performed under general anaesthesia. The procedure revealed a normal but hugely dilated stomach with a funnel-shaped plastic foreign body impacting and completely obstructing the pylorus (Figure 3). The foreign body was extracted (Figure 4) with a snare and forceps. The patient was discharged home 24 hours following gastroscopy on a regular diet and ranitidine for mild esophageal erosions. The specimen was examined by the pathologist who confirmed a pink funnel-shaped structure measuring 2.3×2×2 centimeters. Similar plastic objects are typically fixed to balloons as handles and are readily available to children.

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