Kim Hye Bo, Kim Yu Bin, Ko Yura, Choi Yoo Jin, Lee Jisook, Kim Jung Heon
Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea.
Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea.
Clin Exp Emerg Med. 2020 Dec;7(4):330-333. doi: 10.15441/ceem.20.041. Epub 2020 Dec 31.
A previously healthy 12-month-old girl presented to the emergency department with vomiting of water beads (superabsorbent polymer). The girl did not have clinical or radiographic signs of residual foreign bodies or intestinal obstruction. Point-of-care ultrasound showed well-demarcated, round, and hypoechoic materials in the stomach and first part of the duodenum, indicating ingested beads. Subsequently, the beads were retrieved by the esophagogastroduodenoscopy. Because water beads can be readily found with point-of-care ultrasound, the use of this imaging modality can expedite endoscopic intervention and avoid surgical removal of foreign bodies.
一名此前健康的12个月大女童因呕吐吸水珠(高吸水性聚合物)被送往急诊科。该女童没有残留异物或肠梗阻的临床或影像学迹象。床旁超声显示胃和十二指肠第一部有边界清晰、圆形且低回声的物质,提示摄入了珠子。随后,通过食管胃十二指肠镜取出了珠子。由于床旁超声很容易发现吸水珠,使用这种成像方式可以加快内镜干预并避免手术取出异物。