A 45 mm Sized Hairpin Ingestion in a 30-month-old Girl with Spontaneous Passage: A Case Report
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A 30-month-old girl presented to the emergency department of Chungbuk National University Hospital approximately one hour after his caregiver observed him ingest a hairpin while attempting to remove it from his mouth. On arrival he was asymptomatic, and no injuries were noted in the oral cavity. His height was 89.8 cm (26.5th percentile) and weight 13.5 kg (55.0th percentile). Vital signs were within normal limits for his age: heart rate 106 beats/min, respiratory rate 22 breaths/min, temperature 36.0 ℃. Initial plain abdominal radiography revealed a linear metallic object measuring about 45 mm in length located in the upper abdomen. Patient had been NPO for approximately one hour. Five hours after presentation, upper gastrointestinal endoscopy was performed; the scope was advanced to the second portion of the duodenum, but no foreign body was observed, and no mucosal damage was evident. A follow-up radiograph suggested the object had migrated into the small intestine. As the patient remained symptom-free, he was discharged for outpatient follow-up. Two days later the parents reported no foreign body observed in his stool, and outpatient radiography showed no evidence of the object— spontaneous passage was presumed without complications.
Abstract
A 30-month-old girl presented to the emergency department of Chungbuk National University Hospital approximately one hour after his caregiver observed him ingest a hairpin while attempting to remove it from his mouth. On arrival he was asymptomatic, and no injuries were noted in the oral cavity. His height was 89.8 cm (26.5th percentile) and weight 13.5 kg (55.0th percentile). Vital signs were within normal limits for his age: heart rate 106 beats/min, respiratory rate 22 breaths/min, temperature 36.0 ℃. Initial plain abdominal radiography revealed a linear metallic object measuring about 45 mm in length located in the upper abdomen. Patient had been NPO for approximately one hour. Five hours after presentation, upper gastrointestinal endoscopy was performed; the scope was advanced to the second portion of the duodenum, but no foreign body was observed, and no mucosal damage was evident. A follow-up radiograph suggested the object had migrated into the small intestine. As the patient remained symptom-free, he was discharged for outpatient follow-up. Two days later the parents reported no foreign body observed in his stool, and outpatient radiography showed no evidence of the object— spontaneous passage was presumed without complications.