Introduction
Foreign body ingestion in children is a common medical emergency requiring immediate attention. While some objects may pass naturally, sharp objects like pins can lead to serious complications.
This case managed at Aster MIMS Hospital, Kottakkal, highlights the importance of early diagnosis and advanced endoscopic treatment in pediatric emergencies.
Case Narration
A 13-year-old girl was brought to Aster MIMS Hospital, Kottakkal, after accidentally swallowing a ball pin.
An immediate X-ray confirmed the presence of a metallic pin measuring approximately 2 inches in length in the stomach.
On further review of the history, it was noted that the child had consumed food approximately 6 hours before hospital arrival. The parents reported that she had eaten a banana and rice after the accidental ingestion, assuming the foreign body would pass along with food.
Clinical Management
An OGD (Oesophago-Gastro-Duodenoscopy) was performed to remove a foreign body.
During the procedure:
- The pin was identified within the stomach
- Presence of food reduced endoscopic visibility
- The sharp object required careful handling
Using rat tooth forceps, the pin was successfully removed without complications by the gastroenterology team.
This case demonstrates the effectiveness of advanced endoscopy in managing pediatric foreign body ingestion.
Treating Doctor
Dr. Rooby Shaheer
Senior Consultant – Gastroenterology
Qualification:
MBBS, MD (General Medicine), DM (Medical Gastroenterology)
Expertise:
- Gastrointestinal endoscopy
- Digestive disorders treatment
- Advanced gastroenterology procedures
Procedural Challenge
The presence of food in the stomach made the procedure more complex:
- Limited visualization during endoscopy
- Difficulty in locating and grasping the object
- Increased risk due to the sharp nature of the pin
Despite these challenges, the procedure was completed safely using expert endoscopic techniques.
Key Medical Insight
This case highlights an important awareness point in foreign body ingestion management:
Avoid giving food immediately after suspected ingestion. Food intake can:
- Complicated endoscopic removal procedures
- Increase the risk of internal injury
- Delay emergency medical treatment
What Should You Do?
If a child swallows a foreign object:
- Do not give food or water
- Do not attempt home remedies
- Seek emergency medical care immediately
- Consult a gastroenterology specialist
Early intervention ensures safe and quick recovery.
Conclusion
Foreign body ingestion in children, especially sharp objects like pins, can become a serious health risk. With timely diagnosis and expert gastroenterology care, such cases can be managed safely and effectively.
Final Note
A small mistake can become a serious risk — timely medical care makes all the difference.
