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,
chest,
and abdomen are very useful in confirming the diagnosis of foreign bodies ingestion because most ingested foreign bodies are radiopaque [1].
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 [2].
Some authors introduced detail optimal use of multiple imaging techniques,
including radiography,...
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,
ICU,
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.
Results
The majority of children (79,5%) admitted to the hospital during 0,5-6 hours after foreign bodies engaging (Table 1).
Time in hours
Children number
Children %
<0,5
3
8,5
1,0
9
22,5
2,0
5
12,5
3,0
4
10,0
4,0
3
8,5
6,0
7
17,5
7,0
2
5,0
8,0
2
5,0
24,0
3
8,5
72,0
1
2,5
>120,0
1
2,5
40
100,0
Table 1.
The time distribution betweenchildrenadmission to the hospital and foreign bodies engaging.
We combine plane x-ray (40 cases) with contrast x-ray (9 cases),
low-dose...
Conclusion
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,
buttons,
meat,
and...
Personal information
Prof.
Andrias M.
Hambardzumyan
St.
Astvatsamayr Medical Center,
Department of Radiology
Address: Artashisian str.
46a,
0039 Yerevan,
Armenia
Endovision Medical Center
E-mail:
[email protected]
References
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(2014) Role of plain radiography in the assessment of ingestedforeign bodiesin thepediatricpatients.Semin Ultrasound CT MR.2015 Feb;36(1):21-7.
DOI: 10.1053/j.sult.2014.10.008.
2.Pugmire BS,Lim R,Avery LL.
(2015) Review of Ingested and AspiratedForeign Bodiesin Children and Their Clinical Significance for Radiologists.Radiographics.2015 Sep-Oct; 35(5):1528-38.
DOI: 10.1148/rg.2015140287.
3.Tseng HJ,Hanna TN,Shuaib W,Aized M,Khosa F,Linnau KF.
(2015) ImagingForeign Bodies: Ingested,
Aspirated,
and Inserted.Ann Emerg Med.2015 Dec;66(6):570-582.e5.
DOI: 10.1016/j.annemergmed.2015.07.499.
4.Eggli KD,Potter BM,Garcia V,Altman RP,Breckbill DL.
(1986) Delayed diagnosis of esophageal perforation by aluminumforeign bodies.Pediatr Radiol.16(6):511-3
5.Saps M,Rosen...