Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
권호 표지
DOI QR코드

DOI QR Code

An unusual cause of duodenal perforation due to a lollipop stick

  • Kim, Mi Jin (Department of Pediatrics, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Seo, Jeong Meen (Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Yoon (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Yoo Min (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Choe, Yon Ho (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2012.03.05
  • Accepted : 2012.07.12
  • Published : 2013.04.15
Download PDF
⟨ Previous Next ⟩

Abstract

Children have a natural tendency to explore objects with their mouths; this can result in the swallowing of foreign objects. Most ingested foreign bodies pass uneventfully through the gastrointestinal tract. However, some foreign bodies cause obstruction or perforation of the gastrointestinal tract, requiring surgical intervention. Perforation of the gastrointestinal tract may be associated with considerable morbidity and mortality. The most common sites of intestinal foreign body perforation are the ileocecal and rectosigmoid regions. Foreign body perforation of the duodenum is relatively uncommon. We report the first Korean case of duodenal perforation by an ingested 8-cm lollipop stick. Lollipops are popular with the children and fairly accessible to them, as most parents are not aware of their potential harm. Pediatric clinicians should be aware of the risks associated with lollipop stick ingestion. Our report also describes the feasibility and safety of laparoscopic diagnosis and management of pediatric patients with peritonitis induced by the ingestion of foreign bodies.

Keywords

References

  1. Hernandez Anselmi E, Gutierrez San Roman C, Barrios Fontoba JE, Ayuso Gonzalez L, Valdes Dieguez E, Lluna Gonzalez J, et al. Intestinal perforation caused by magnetic toys. J Pediatr Surg 2007;42:E13-6.
  2. Hartin CW Jr, Lau ST, Caty MG. Metallic foreign body in the appendix of 3-year-old boy. J Pediatr Surg 2008;43:2106-8. https://doi.org/10.1016/j.jpedsurg.2008.07.026
  3. Velitchkov NG, Grigorov GI, Losanoff JE, Kjossev KT. Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases. World J Surg 1996;20:1001-5. https://doi.org/10.1007/s002689900152
  4. Losanoff JE, Kjossev KT. Ingested foreign bodies of the gastrointestinal tract. J Emerg Med 1999;17:525-6. https://doi.org/10.1016/S0736-4679(99)00031-1
  5. Selivanov V, Sheldon GF, Cello JP, Crass RA. Management of foreign body ingestion. Ann Surg 1984;199:187-91. https://doi.org/10.1097/00000658-198402000-00010
  6. Omejc M. Laparoscopic removal of an ingested pin migrating into the liver. Surg Endosc 2002;16:537. https://doi.org/10.1007/s004640042014
  7. Pinero Madrona A, Fernandez Hernandez JA, Carrasco Prats M, Riquelme Riquelme J, Parrila Paricio P. Intestinal perforation by foreign bodies. Eur J Surg 2000;166:307-9. https://doi.org/10.1080/110241500750009140
  8. Goh BK, Chow PK, Quah HM, Ong HS, Eu KW, Ooi LL, et al. Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies. World J Surg 2006;30:372-7. https://doi.org/10.1007/s00268-005-0490-2
  9. Chao HH, Chao TC. Perforation of the duodenum by an ingested toothbrush. World J Gastroenterol 2008;14:4410-2. https://doi.org/10.3748/wjg.14.4410
  10. Eisen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF, et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc 2002;55:802-6. https://doi.org/10.1016/S0016-5107(02)70407-0

Cited by

  1. Needle in a haystack: hepatic abscesses secondary to inadvertent ingestion of a foreign body vol.80, pp.2, 2013, https://doi.org/10.12968/hmed.2019.80.2.ii
  2. Lollipop in a haystack: an unusual case of foreign body caecal perforation mimicking appendicitis vol.91, pp.6, 2013, https://doi.org/10.1111/ans.16415