A Choking Child with Unexpected Foreign Body
Keywords:Foreign body ingestion, Open safety pin, Children
Foreign body ingestion is a common problem in children age from 6 months to 3 years as they explore things by placing them in the mouth. Coins are the most common being ingested and not surprisingly other sharp foreign bodies such as needles, fishbone, brooch or an open safety pin can also be accidentally ingested by them. We present a case of the ingested open safety pin in a 10-months-old girl. She presented with choking and a brief cyanosis episode. Physical examinations were unremarkable but the chest radiograph showed an open safety pin at the mid oesophagus. She was put under general anaesthesia for removal of the open safety pin however retrieval was unsuccessful. Repeated chest radiograph showed the safety pin had migrated further and 3 days later it was spontaneously eliminated in her stool. We reviewed the urgency, management and techniques for the removal of an open safety pin.
Tokar B, Cevik AA, Ilhan H. Ingested gastrointestinal foreign bodies: Predisposing factors for complications in children having surgical or endoscopic removal. Pediatr Surg Int. 2007;23(2):135–9.
Aydoǧdu S, Arikan Ç, Çakir M, Baran M, Yüksekkaya HA, Saz UE, et al. Foreign body ingestion in Turkish children. Turk J Pediatr. 2009;51(2):127–32.
Dahshan A. Management of ingested foreign bodies in children. J Okla State Med Assoc 2001;94:183–6.
Webb WA. Management of foreign bodies of the upper gastrointestinal tract: Update. Gastrointest Endosc. 1995;41(1):39–51.
Cheng W, Tam PKH. Foreign-body ingestion in children: Experience with 1,265 cases. J Pediatr Surg. 1999;34(10):1472–6.
Skoulakis C, Hajiioannou J, Dava C, Bizaki A, Valagiannis D, Bizakis J. Safe extraction of an impacted open safety pin from the esophagus: Report of three cases. Int J Pediatr Otorhinolaryngol Extra. 2010;5(3):102–4.
Mitra A, Bajpai M. Impacted sharp oesophageal foreign bodies-a novel technique of removal with the paediatric bronchoscope. J Trop Pediatr. 2016;62(2):161–4.
Smith MT and Wong RK. Foreign bodies. Gastrointest Endosc Clin N Am. 2007;17(2):361–82.
Kramer RE, Lerner DG, Lin T, Manfredi M, Shah M, Stephen TC, et al. Management of ingested foreign bodies in children: A clinical report of the NASPGHAN endoscopy committee. J Pediatr Gastroenterol Nutr. 2015;60(4):562–74.
Karjoo M, A-Kader H. A novel technique for closing and removing an open safety pin from the stomach. Gastrointest Endosc. 2003;57(4):627–9.
Golz A, Netzer A, Gordin A, Westerman ST, Joachims HZ. Safe extraction of an impacted open safety pin from the esophagus: report of 9 cases. Am J Otolaryngol - Head Neck Med Surg. 2006;27(6):413–7.
Bizakis JG, Prokopakis EP, Papadakis CE, Skoulakis CE, Velegrakis GA, Helidonis ES. The challenge of esophagoscopy in infants with open safety pin in the esophagus: Report of two cases. Am J Otolaryngol - Head Neck Med Surg. 2000;21(4):255–8.
Gün F, Salman T, Abbasoglu L, Çelik R, Çelik A. Safety-pin ingestion in children: A cultural fact. Pediatr Surg Int. 2003;19(6):482–4.
How to Cite
Copyright (c) 2022 Malaysian Journal of Paediatrics and Child Health
This work is licensed under a Creative Commons Attribution 4.0 International License.