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      Broken Piece of Silicone Suction Catheter in Upper Alimentary Tract of a Neonate

      case-report
      , ,
      APSP Journal of Case Reports
      EL-MED-Pub
      Esophageal foreign body, Neonate, Laryngoscopy

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          Abstract

          Esophageal foreign bodies (FB) are common in adults and children. These are rarely reported in infants and neonates. A 2-day-old newborn was referred to our hospital with history of accidental intrusion of soft silicone suction catheter into the upper gastrointestinal tract (GIT). X-ray chest and abdomen confirmed the presence of suction tube in esophagus and stomach. The suction catheter was retrieved successfully at direct laryngoscopy.

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          Intraluminal Migration of Surgical Sponge: Gossypiboma

          Surgical mop retained in the abdominal cavity following surgery is a serious but avoidable complication. The condition may manifest either as an exudative inflammatory reaction with formation of abscess, or aseptically with a fibrotic reaction developing into a mass. Intraluminal migration is relatively rare. We report the case of a 23 year old woman who presented after a previous caesarean section with intestinal obstruction. Plain abdominal radiograph and computed tomography confirmed the presence of gossypiboma. The patient underwent laparatomy and sponge removal. This report discusses the approach to, and manifestations of, migratory surgical gossypiboma.
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            Oesophageal foreign bodies.

            Impaction of foreign bodies in the oesophagus was analysed in 54 patients, 45 of whom were children. Of the 45 children 28 were aged 2-4 years. Coins were the most common foreign body in children (27 cases) while in adults a bolus of meat was most common (nine cases). In 41 children there was no predisposing factor, but an underlying mechanism was detected in 88% of the adults. The mechanisms were of three types: oesophageal (stricture), neuromuscular (myasthenia gravis), and extrinsic and mechanical (ankylosing spondylitis). In children most of the foreign bodies were impacted in the upper oesophagus at the cricopharyngeal junction, which is the narrowest part of the oesophagus, while in adults the foreign body was usually impacted at the site of the predisposing lesion or in the lower oesophagus. In all patients oesophagoscopy was performed under general anaesthesia to remove the impacted foreign body. Complications were more frequent in adults, mainly owing to the underlying condition.
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              Bowel Perforation by Crumpled Paper in a Patient Presenting with Acute Abdominal Pain

              Many of the abdominal foreign bodies are due to accidental ingestion. Our objective in this case report is to emphasize the importance of the enquiry about the foreign body in the differential diagnosis of acute abdominal pain. According to our knowledge, this is the first report of bowel perforation caused by paper ingestion. A 14-year-old boy with abdominal pain underwent exploratory laparotomy and was found to have abdominal pus and ileal perforation. A crumpled paper was found at the site of perforation. Postoperative enquiry revealed that the patient had ingested 10 crumpled papers. We highlight that recording the history is an important aspect in the management of patients with acute abdominal pain and that foreign bodies should be included in its differential diagnosis.
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                Author and article information

                Journal
                APSP J Case Rep
                APSP J Case Rep
                AJCR
                APSP Journal of Case Reports
                EL-MED-Pub
                2218-8185
                14 August 2010
                Jan-Jun 2010
                : 1
                : 1
                : 8
                Affiliations
                Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health Lahore, Pakistan
                Author notes
                Address for Correspondence: M. Bilal Mirza, Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health Lahore, Pakistan blmirza@ 123456yahoo.com .
                Article
                ajcr-2010-1-3
                3417984
                22953251
                49d5e7da-62c1-4f4b-9bab-622444ef2e3c
                Copyright © 2010 Mirza et al

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 12 June 2010
                : 11 July 2010
                Categories
                Case Report

                Pediatrics
                laryngoscopy,esophageal foreign body,neonate
                Pediatrics
                laryngoscopy, esophageal foreign body, neonate

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