49
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Retention of foreign body in the gut can be a sign of congenital obstructive anomaly: a case report

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introduction

          Small smooth objects that enter the gut nearly always pass uneventfully through the gastrointestinal tract. Retention of foreign objects may occur due to congenital obstructive anomaly of the gut.

          Case presentation

          We report here a child who presented with features of small gut obstruction which were attributed to a foreign body impacted in the intestine. At surgery, an annular pancreas was detected and the foreign body was found to be lodged in the distended proximal duodenum.

          Conclusion

          The reported case highlights the fact that an impacted radio-opaque foreign body in a child should warn the pediatrician to the possibility of an obstructive congenital anomaly.

          Related collections

          Most cited references13

          • Record: found
          • Abstract: found
          • Article: not found

          Reliability and role of plain film radiography and CT in the diagnosis of small-bowel obstruction.

          We compare the reliability and define the role of plain film radiography and CT in the assessment of various severities of small-bowel obstruction. A blinded retrospective analysis was done on 78 patients who underwent plain abdominal radiography, CT, and enteroclysis to assess for suspected small-bowel obstruction. The findings at enteroclysis and the clinical outcomes were used as standards of reference. The sensitivity of plain film radiography for revealing small-bowel obstruction was 69% (44/64), and its specificity was 57% (8/14). Overall accuracy of plain film radiography was 67% (52/78). The sensitivity and specificity of CT were 64% (41/64) and 79% (11/ 14), respectively. Overall accuracy of CT was 67% (52/78). When obstructions were classified as low- and high-grade partial obstruction, plain film radiography and CT had sensitivities of 86% (24/28) and 82% (23/28), respectively, for high-grade obstruction and 56% (20/36) and 50% (18/36), respectively, for low-grade obstruction. CT revealed the cause of the small-bowel obstruction in 95% (39/41) of those patients in who CT correctly showed the obstruction. Plain film radiography and CT had similar overall accuracies in showing small-bowel obstruction of various severities. Plain film radiography should remain the initial method of imaging patients with suspected small-bowel obstruction. The ability of CT to show the cause of small-bowel obstruction makes CT an important additional diagnostic tool when specific management issues must be addressed.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            The role of radiology in the diagnosis of small-bowel obstruction.

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Management of ingested foreign bodies in childhood.

              L Spitz (1971)
              A total of 660 patients with ingested foreign bodies admitted to the general surgical services in two children's hospitals in Liverpool are reviewed. Endoscopic removal (205 cases) is recommended for all foreign objects impacted in the oesophagus, with the exception of rounded or blunt objects in the lower third, which should be observed for a maximum of 12 hours. The indications for laparotomy for removal of a foreign body (43 cases, 6.5%) are the danger of perforation and failure of progression. The ingestion of a long slender object-for example a hair-grip-in a child under 2 years of age, is an absolute indication for prophylactic operative removal owing to the high incidence of impaction and perforation of the duodenum.
                Bookmark

                Author and article information

                Journal
                J Med Case Reports
                Journal of Medical Case Reports
                BioMed Central
                1752-1947
                2008
                9 September 2008
                : 2
                : 293
                Affiliations
                [1 ]Department of Pediatric Surgery, SCB Medical College, Cuttack 753007, Orissa, India
                [2 ]Department of Gastroenterology, SCB Medical College, Cuttack 753007, Orissa, India
                [3 ]Beam Diagnostics, Cuttack 753001, Orissa, India
                Article
                1752-1947-2-293
                10.1186/1752-1947-2-293
                2546415
                18782435
                4a3d4ad0-fcab-45a2-bf38-68fc3b41c8a1
                Copyright © 2008 Subudhi et al; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 16 December 2007
                : 9 September 2008
                Categories
                Case Report

                Medicine
                Medicine

                Comments

                Comment on this article