Khan Abdullah
Dignity Health - St. Rose Dominican Hospital Department of Pediatric Emergency Medicine Siena Campus Hospital Henderson Nevada USA.
J Am Coll Emerg Physicians Open. 2022 Jan 22;3(1):e12662. doi: 10.1002/emp2.12662. eCollection 2022 Feb.
Foreign body ingestion and aspiration can present as a life-threatening emergency in children. These foreign bodies are diagnosed based on history, physical exam, and focused radiography to reduce the risk of excessive radiation. We describe a case of a 3-year-old child who ingested magnetic beads and presented to the emergency department with no symptoms. On a single view x-ray of chest and abdomen, the magnetic beads were identified in the abdomen but a closer look at these single view x-rays raised a suspicion of additional foreign bodies in the larynx. A dedicated x-ray of the neck identified 2 more magnetic beads locked with each other on either side of the epiglottis. These laryngeal magnetic beads were nearly missed on initial x-rays, especially because the child had no symptoms of upper airway obstruction. This case report provides further evidence that in the evaluation of radiopaque foreign bodies in children we should strongly consider "nose to rectum" x-rays.
异物摄入和吸入在儿童中可能表现为危及生命的紧急情况。这些异物通过病史、体格检查和针对性的X光检查来诊断，以降低过度辐射的风险。我们描述了一例3岁儿童摄入磁珠并无症状地前往急诊科就诊的病例。在胸部和腹部的单视图X光片上，在腹部发现了磁珠，但仔细查看这些单视图X光片后怀疑喉部还有其他异物。颈部的专门X光片显示会厌两侧有另外2颗磁珠相互吸附。这些喉部磁珠在最初的X光片上险些漏诊，尤其是因为患儿没有上气道梗阻的症状。本病例报告进一步证明，在评估儿童不透射线异物时，我们应强烈考虑进行“从头到直肠”的X光检查。
