Learning objectives
To focus on the radiological evaluation of foreign bodies in pediatric population with emphasis on most commonly involved roots of entry.
To illustrate the importance of prompt management of high risk foreign bodies to avoid complications.
To illustrate rare cases of incidental,
vaginal and subcutaneous foreign bodies.
To emphasize the use of multimodality approach for exact localization of foreign body and idntification of possible complications for further management plan.
To highlight the role of ultrasound as an imaging modality for detection of foreign bodies to...
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...
Findings and procedure details
We performed a retrospective search of pediatric patients with foreign bodies.
Patients either presented in Emergency Department with history of foreign body ingestion / aspiration or were found to have ingested foreign body as an incidental finding in Radiological examinations done for other indications.
Multimodality imaging spectrum also includes complicated cases of foreign bodies,
foreign bodies in vagina as well as in soft tissues.
Radiography is the first imaging modality of choice.
Frontal and lateral projections are crucial for exact localization.
Imaging of the neck,...
Conclusion
Foreign body ingestion is very common in pediatric age group,
requiring high level of clinical suspicion,
thorough clinical examination and prompt radiological evaluation.
Proper timely imaging plays crucial role for early diagnosis and management of foreign bodies to prevent complications.
Personal information
Dr.
Sadia Sajid
Medical Resident
Hamad Medical Corporation,
Doha,
Qatar
[email protected]
Dr.
Tahiya Salem Alyafei
Pediatric Radiologist
Hamad Medical Corporation,
Doha,
Qatar
Dr.
Ma'mon Qasem
Medical Resident
Hamad Medical Corporation,
Doha,
Qatar
Dr.
Sidra Sajid
Medical Intern
Holy Family Hospital
References
Pugmire BS,
Lim R,
Avery LL.
Review of ingested and aspirated foreign bodies in children and their clinical significance for radiologists.
Radiographics.
2015;35:1528–38.
Denney W,Ahmad N,Dillard B,Nowicki MJ.Children will eat the strangest things: a 10-year retrospective analysis of foreign body and caustic ingestions from a single academic center.Pediatr Emerg Care2012;28(8):731–734.
Dhawan SS,Ryder KM,Pritchard E.Massive penny ingestion: the loot with local and systemic effects.J Emerg Med2008;35(1):33–37.
Ingraham,
C.R.,
Mannelli,
L.,
Robinson,
J.D.
et al,Radiology of foreign bodies: how do we image them?.Emerg Radiol.2015;22:425–430.
Votteler TP,Nash JC,Rutledge...