Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Diagnosis of Nonmigrating Metallic Foreign Bodies in the Abdomen Using Ultrasound: An Alternative Approach Using a Traditional Method

  • Pak, Seong Min (Department of Pediatrics, Pusan National University Children's Hospital, College of Medicine, Pusan National University) ;
  • Lee, Yeoun Joo (Department of Pediatrics, Pusan National University Children's Hospital, College of Medicine, Pusan National University) ;
  • Hwang, Jae Yeon (Department of Radiology, Pusan National University Children's Hospital, College of Medicine, Pusan National University)
  • Received : 2021.07.28
  • Accepted : 2021.12.17
  • Published : 2022.01.15
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Abstract

Ingestion of foreign bodies (FBs) is a common phenomenon among young children. Plain radiography is the first step diagnostic modality to detect the radio-opaque FBs. And computed tomography has been recommended by several guidelines as useful modalities for diagnosing ingested FBs. However, there is a risk of radiation exposure, making it burdensome to use in asymptomatic patients. Ultrasound (US) is not a commonly used technique for diagnosing ingested foreign bodies. However, US can provide real-time imaging with good resolutions without radiation exposure in pediatric patients. Herein, we report two pediatric cases of metallic foreign body ingestion that were successfully diagnosed using US for localizing foreign bodies. This study indicates that US may be used as an alternative method for detecting the localization of metallic foreign bodies in the gastrointestinal tract without exposure of radiation, particularly in pediatric patients.

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References

  1. Cai DT, Shu Q, Zhang SH, Liu J, Gao ZG. Surgical treatment of multiple magnet ingestion in children: a single-center study. World J Clin Cases 2020;8:5988-98. https://doi.org/10.12998/wjcc.v8.i23.5988
  2. Buonsenso D, Chiaretti A, Curatola A, Morello R, Giacalone M, Parri N. Pediatrician performed point-of-care ultrasound for the detection of ingested foreign bodies: case series and review of the literature. J Ultrasound 2021;24:107-14. https://doi.org/10.1007/s40477-020-00452-z
  3. Oliva S, Romano C, De Angelis P, Isoldi S, Mantegazza C, Felici E, et al. Foreign body and caustic ingestions in children: a clinical practice guideline. Dig Liver Dis 2020;52:1266-81. https://doi.org/10.1016/j.dld.2020.07.016
  4. Guelfguat M, Kaplinskiy V, Reddy SH, DiPoce J. Clinical guidelines for imaging and reporting ingested foreign bodies. AJR Am J Roentgenol 2014;203:37-53. https://doi.org/10.2214/AJR.13.12185
  5. Grassi R, Faggian A, Somma F, De Cecco CN, Laghi A, Caseiro-Alves F. Application of imaging guidelines in patients with foreign body ingestion or inhalation: literature review. Semin Ultrasound CT MR 2015;36:48-56. https://doi.org/10.1053/j.sult.2014.10.004
  6. Hosokawa T, Yamada Y, Sato Y, Tanami Y, Nanbu R, Hagiwara SI, et al. Role of sonography for evaluation of gastrointestinal foreign bodies. J Ultrasound Med 2016;35:2723-32. https://doi.org/10.7863/ultra.16.01042
  7. Zhao Y, Yang Z, Quan J, Hu H. Sonographic diagnosis of perforation of the gastric antrum caused by a foreign body: a case report. Medicine (Baltimore) 2019;98:e14586. https://doi.org/10.1097/md.0000000000014586
  8. Boyse TD, Fessell DP, Jacobson JA, Lin J, van Holsbeeck MT, Hayes CW. US of soft-tissue foreign bodies and associated complications with surgical correlation. Radiographics 2001;21:1251-6. https://doi.org/10.1148/radiographics.21.5.g01se271251
  9. Hwang JY. Emergency ultrasonography of the gastrointestinal tract of children. Ultrasonography 2017;36:204-21. https://doi.org/10.14366/usg.16052