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Open safety pin ingestion in a 13-month-old-boy: It can be sponta | 31202
Pediatrics & Therapeutics

Pediatrics & Therapeutics
Open Access

ISSN: 2161-0665

+44 1478 350008

Open safety pin ingestion in a 13-month-old-boy: It can be spontaneously eliminated or not?


4th International Conference on Pediatrics & Pediatric Emergency Medicine

March 29-31, 2016 Atlanta, Georgia, USA

Suat Bicer, Guniz Yasoz, Safiye ulku ozer, Yakup Sogutlu, Rabia Ergelen2 and Defne Col2

Yeditepe University, Turkey
Marmara University, Turkey

Posters & Accepted Abstracts: Pediat Therapeut

Abstract :

Foreign body ingestion is a common problem in childhood. Most children who have swallowed a foreign body do not require specialized care, since many of the foreign bodies pass through the gastrointestinal tract spontaneously without any intervention. Although mortality or morbidity due to the foreign body is rare, someone of the sharp objects can cause serious problems. The sharps objects such as needles, open safety pins, toothpicks, screws, nails, tacks may cause obstruction, perforation, abscess, peritonitis, fistula formation, appendicitis, penetration, incarcerated umbilical hernia, aortoesophageal fistula and also hemopericardium. Sharp object ingestion rates are different; it is between 11% - 13% in Europe and Asia. Type of ingested objects depends on country and cultural factors. For example blue bead ingestions are most frequently encountered in Turkey, which is attached to a safety pin for religious or cultural beliefs. Open safety pin ingestions are common also, since the blue beads are attached with safety pins. When the safety pins are unfastened, they can be swallowed easily and can stick at any location in gastrointestinal tract, especially in the narrowest parts. If the sharp object is in the esophagus, removal is mandatory. But once they are beyond the esophagus, most sharp objects pass without any complication and there is no need to intervention. In this case report, we present a 13-month-old-boy, ingested open safety pin. Case: A 13-month-old-boy was admitted to our pediatric emergency department with a history of safety pin ingestion. The family found the blue bead in his bed. It was attached to the child��?s clothes with a safety pin. They couldn��?t find the safety pin and thought it was ingested. The boy was taken to a private hospital and an abdominal X-ray was obtained. The open safety pin was seen in pylorus and he was referred to a university hospital. When he arrived to our pediatric emergency department, an abdominal X-ray was taken and consulted to the pediatric gastroenterology. The open safety pin was in the first part of duodenum. Pediatric gastroenterologist decided to hospitalize the patient to follow up closely and observe him with nothing by mouth (NPO). After twenty hours, a control X-ray was taken; the open safety pin was seen in the ascending colon. The child was discharged from hospital, and an education was given to family to watch his stool closely, also parents warned about the symptoms. The day after, we called the family and learned that open safety pin was eliminated spontaneously from stool.

Biography :

Email: defnecol@yahoo.com

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