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    Go to the top of the page   ID: 20090420160623 Original case in german  More links about this topic on Pubmed (PubMed Reader)
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    Key as unusual esophageal foreign body in neonate
    Sarma Sanjeeb, Prakritish Bora. Key as unusual esophageal foreign body in neonate. PedRad [serial online] vol 9, no. 4.
    URL: www.PedRad.info/?search=20090420160623


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Sarma Sanjeeb Kumar (Down Town Hospital/Guwahati/India), Prakritish Bora (International Hospital/Guwahati/India)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    19 Days  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Neck-Pharynx  

     
     Pediatric Radiology CasesMost likely etiology:

    physical  

     
     Pediatric Radiology CasesHistory: *

    A 29 days old female infant presented with history of drooling of saliva, excessive crying and mild respiratory distress for two days.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease : *

    A 29 days old female infant was brought to pediatric outpatient department with history of excessive drooling of salvia, crying and respiratory distress for 2 days. On examination the infant was having tachycardia and was tachypnaec also. Clinically chest, CVS, CNS and per abdominal examinations were normal. Chest x ray (antero-posterior view) revealed a metallic foreign body (a key) in the cervical region and superior mediastinum area confirmed the diagnosis of foreign body ingestion [Fig1]. General anesthesia was given. Direct laryngoscope revealed the tip (broad end) of the foreign body as silver color projection at the level of cricopharynx. Surrounding mucosa shows edema and oozing of blood. On touching the tip of the foreign body by the Mc Gill forcep, a metallic click feeling was observed by the pediatrician and by holding the tip the foreign body was removed. It measured approximately 3.4 cm x 0.9 cm and weighs 5 grams [Fig2].  

     
     Pediatric Radiology CasesRadiological findings: *


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Chest x ray (AP view) showing metallic foreign body (a key) in lower cervical and superior mediastinum area.





    OP-Situs 1 <- view OP-Situs 1

    OP-Situs 1: Showing the foreign body (key) after removal.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Other  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    N/A  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other : *

    No complication followed after removal of the foreign body.  

     
     Pediatric Radiology CasesComments of the author about the case: *

    Though children from 5 months to 6 years of age group present commonly in ENT department with foreign body ingestion, however neonatal foreign body ingestion is rare. It can be accidental like from the hands of parents, relatives or elder sibling. In this case the parents doubted the role of relatives for homicidal attempt. No police case was registered till discharge  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Panda N. Management of sharp esophageal foreign bodies in young children: a cause for worry. International Journal of Pediatric Otorhinolaryngology, 2002, 64(3):243-246.

    2. Tasneem Z, Khan M.A. M., Uddin N. Esophageal foreign body in Neonates. J Pak Med Assoc 2004 Mar; 54(3):159-61.

    3. Poorey V. K., Dixit S. and Shakya R. Foreign body oesophagus in neonate with unusual presentation. 2008 June (60)2.

    4. Medatwal A., Gupta P. P., Gulati R. K. Multiple Foreign Bodies in a Neonate. Indian pediatrics. 2008 Nov; (45) 17.  

     
     Pediatric Radiology CasesKeywords: *

    Foreign body, neonate, esophageal, key, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Sarma Sanjeeb, Prakritish Bora. Key as unusual esophageal foreign body in neonate. PedRad [serial online] vol 9, no. 4.
    URL: www.PedRad.info/?search=20090420160623  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Neck-Pharynx
    or in the region: Neck
    or in the tissue/organ: Pharynx
    or with the etiology: physical
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   

    Thanks to Martina Paetzel, M.D. for translating this case!

     
    Key as unusual esophageal foreign body in neonate
    Sarma Sanjeeb, Prakritish Bora. Key as unusual esophageal foreign body in neonate. PedRad [serial online] vol 9, no. 4.
    URL: www.PedRad.info/?search=20090420160623


     

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    Key as unusual esophageal foreign body in neonate
    Other cases by these authors:

    Search Sarma Sanjeeb Kumar in Medline Sarma Sanjeeb Kumar (1)   
    Search Prakritish Bora in Medline Prakritish Bora (2)   

    Key as unusual esophageal foreign body in neonate  
     
    Key as unusual esophageal foreign body in neonate
    Sarma Sanjeeb, Prakritish Bora. Key as unusual esophageal foreign body in neonate. PedRad [serial online] vol 9, no. 4.
    URL: www.PedRad.info/?search=20090420160623


     
     
    Key as unusual esophageal foreign body in neonate
    Sarma Sanjeeb, Prakritish Bora. Key as unusual esophageal foreign body in neonate. PedRad [serial online] vol 9, no. 4.
    URL: www.PedRad.info/?search=20090420160623


     

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    Key as unusual esophageal foreign body in neonate
    Sarma Sanjeeb, Prakritish Bora. Key as unusual esophageal foreign body in neonate. PedRad [serial online] vol 9, no. 4.
    URL: www.PedRad.info/?search=20090420160623


     




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