Aims and objectives
Plain radiographs still play an essential role in the assessment of ingested foreign bodies in the pediatric patient: plain films of the neck,
and abdomen are very useful in confirming the diagnosis of foreign bodies ingestion because most ingested foreign bodies are radiopaque .
Radiography is the most important modality in the evaluation of ingested or aspirated foreign bodies; however,
fluoroscopy and computed tomography play an ancillary role in complicated cases .
Some authors introduced detail optimal use of multiple imaging techniques,
Methods and materials
During the last ten years,
634 children under 14 years old admitted to the emergency with gastrointestinal foreign bodies: 335 hospitalized and 299 were outpatients.
They passed different departments including radiology,
ENT and GI surgical departments.
X-ray examinations help to define radiopaque metallic foreign bodies in 594 children.
Non-metallic foreign bodies had 40 children: 3 – radiopaque (7,5%) and 37 – radiolucent (92,5%).
There were 23 (57%) boys and 17 (43%) girls from 5 months to 9 years old.
The majority of children (79,5%) admitted to the hospital during 0,5-6 hours after foreign bodies engaging (Table 1).
Time in hours
The time distribution betweenchildrenadmission to the hospital and foreign bodies engaging.
We combine plane x-ray (40 cases) with contrast x-ray (9 cases),
Non-metallic foreign bodies making up only 6,3% of the total number of children engage foreign bodies.
Despite the small number of children ingested non-metal foreign bodies to exclude late diagnosis and severe gastrointestinal complications,
there are the needs to combine different radiological methods with clinical examination and endoscopy.
Radiolucent non-metal foreign bodies with minimal clinical symptoms are most complicated for diagnosis and treatment: 10-11 months’ children more frequently engage labels or polyethylene peace; 20 - 35 months’ children had fruits or vegetables,
Astvatsamayr Medical Center,
Department of Radiology
Address: Artashisian str.
Endovision Medical Center
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