Alemu Seifu, Bayileyegn Nebiyou S, Arefayine Melkamu Berhane
Department of Surgery, Jimma University, Jimma, Ethiopia.
Department of Pediatrics and Child Health, Jimma University, Jimma, Ethiopia.
Int Med Case Rep J. 2021 Oct 13;14:731-734. doi: 10.2147/IMCRJ.S331039. eCollection 2021.
A child swallowing a long metallic spoon is an extremely rare phenomenon. Foreign bodies longer than 6 cm are unlikely to pass through the gastrointestinal tract spontaneously and require endoscopic or surgical removal in order to avoid associated complications, such as visceral perforations.
A 13-year-old child presented with accidental swallowing of a metallic spoon 10 days prior to hospital admission. He had history of loss of appetite, epigastric and left upper quadrant abdominal pain and started to have high grade intermittent fever 11 days after swallowing the spoon. A plain abdominal radiograph revealed a metallic spoon in the mid-abdomen. An exploratory laparotomy revealed an 11 cm long metallic spoon impacted at the duodeno-jejunal junction with walled off perforation and erosion of the mesentery of the colon. The metallic spoon was removed and the perforated site was repaired. The surgery was smooth and the patient recovered fully and was discharged seven days post-operation.
A swallowed long metallic spoon is unlikely to pass spontaneously and should be removed as soon as possible in order to avoid associated complications like impaction, perforation and subsequent peritonitis.
儿童吞食长金属汤匙是极为罕见的现象。长度超过6厘米的异物不太可能自行通过胃肠道，为避免诸如内脏穿孔等相关并发症，需要通过内镜或手术取出。
一名13岁儿童在入院前10天意外吞食了一把金属汤匙。他有食欲不振、上腹部和左上腹疼痛的病史，在吞食汤匙11天后开始出现高热间歇性发热。腹部平片显示腹部中部有一把金属汤匙。剖腹探查发现一把11厘米长的金属汤匙嵌顿在十二指肠空肠交界处，伴有结肠系膜壁内穿孔和糜烂。取出金属汤匙并修复穿孔部位。手术顺利，患者完全康复，术后7天出院。
吞食的长金属汤匙不太可能自行通过，应尽快取出，以避免诸如嵌顿、穿孔及随后的腹膜炎等相关并发症。
