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Unusual Gastrointestinal Complications due to Foreign Body Ingestion

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Abstract

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Unusual Gastrointestinal Complications due to Foreign Body Ingestion

Jai Sao Lim, M.D. and Young Tack Song, M.D.

Department of Surgery, Catholic University Medical College, Seoul, Korea

Children tend to ingest foreign bodies. The majority present in children be- tween the ages of 6 months and 3 years. We experienced 2 cases of unusual gastrointestinal complications caused by ingested foreign bodies. First case was a lO-month-old male with intestinal perforation due to two pieces of ingested mag- netic beads. Second case was a 7- month-old girl with esophageal stricture due to an ingested particle of plastic toy.

Index Words: Foreign body ingestion, Gastrointestinal perforation, Esophageal stricture

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Fig. 1. Simple abdominal radiography shows radiop- aque foreign bodies and small bowel distension with air-fluid level(Case 1).

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Fig. 2. Intraoperative photograph shows ileal perfo- ration(arrow). The two magnetic beads were attract- ed to the intestinal clamps(Case 1).

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Fig. 3. Esophagogram shows severe stenosis at prox- imal portion of esophagus(Case 2).

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Fig. 4. Intraoperative photograph shows esophageal perforation and stricture and a plastic foreign body (arrow) (Case 2).

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1. Erbes J, Babbit DP: Foreign bodies in

alimentary tract of infants and children.

Appl Ther 7: 11 03-11 09, f965

2. {l~-&- %: 7]5:. ~ :i:::§/-7] 0] % oj] {l-~ o,JAJ

~ ~T. :i::0}JJ} 25:56-61, 1982

3. Perelman H: Toothpick perforation of the gastrointestinal tract. J Abdom Surg 4: 51- 53, 1962

4. Yousif D, AL-Naaman: Nonvegetable for- eign bodies in the bronchopulmonary tract in children. J Larynx Otol 89: 289-298, 1979 5. Webb WA: Management of foreign bodies

of the upper gastrointestinal tract. Gastroen- terology 94:204-216,1988

G. Nandi P, Ong GB: Foreign bodies in the esophagus: review of 2,394 cases. Br J Surg 65:5-9,1978

7. Giordano A, Adams G, Boies L, Meyerhoft W: Current management of esophageal for- eign bodies. Arch Otolaryngol 107: 249-251, 1981

8. 0J-6:jT, IlB4-%: ~:§/-{! 0]%01] ~~ *?-Jif- ~

?-JIlj]5:lj~. rll~~JJ}~:§:j7.] 39:800-802, 1990 9. Shwartz GF, Polsky HS: Ingested foreign"

bodies of gastrointestinal tract. Am Surg 42:236-238,1976

10. Snodgrass T J: Foreign bodies in the intesti- nal tract. Arch Surg 55:441-456,1947

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수치

Fig.  1.  Simple abdominal radiography shows  radiop- radiop-aque  foreign  bodies  and  small  bowel  distension  with  air-fluid level(Case  1)
Fig.  4.  Intraoperative  photograph  shows  esophageal  perforation  and  stricture  and  a  plastic  foreign  body  (arrow) (Case  2)

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