The ingested coin that should never get stuck
(2018) , 1 pages
Files
IoMseptember2018b.pdf
Open Access - Adobe PDF
- 763.8 KB
Details
- Authors
- et. al.
- Abstract
- A four-year-old boy presented with vomiting 7 days after ingesting a 2 eurocents coin. An abdominal X-ray (A) showed a metal object projected at the height of the right upper quadrant. As there were no signs of bowel obstruction, the child was sent home to wait for spontaneous emission. One week later, he presented again with worsening symptoms such as continuous vomiting at night. An upper gastrointestinal endoscopy (B) showed a coin located in the duodenal bulb, which appeared dilated, proximal to a significant stenosis of D2. The coin was extracted but it was not possible to pass the endoscope further through the stenosis. An abdominal ultrasound (C) showed a full and dilated D1 and D2 up to the duodenal papilla where a small strip of pancreas extended in front of the duodenum, creating a disparity in caliber between the proximal and distal D2. This image suggested an annular pancreas. References: Jimenez JC1, Emil S, Podnos Y, Nguyen N. Annular pancreas in children: a recent decade's experience. J Pediatr Surg. 2004 Nov;39(11):1654-7.$ Papandreou E, Baltogiannis N, Cigliano B, Savanelli A, Settimi A, Keramidas D. Annular pancreas combined with distal stenosis. A report of four cases and review of the literature.Pediatr Med Chir. 2004 Jul-Aug;26(4):256-9.
- Affiliations
Citations
Van Ouytsel, F., ROCK, N., Stephenne, X., & et al. (2018). The ingested coin that should never get stuck. https://hdl.handle.net/2078.5/63181