Oliveros Lea, McIntosh Colleen, Wilsey Alex, Karjoo Sara, Wilsey Michael
Gastroenterology, Johns Hopkins All Children's Hospital, St. Petersburg, USA.
Pediatrics, University of South Florida (USF) Health, Tampa, USA.
Cureus. 2022 Apr 26;14(4):e24493. doi: 10.7759/cureus.24493. eCollection 2022 Apr.
Sharp pointed objects in the esophagus are extremely hazardous and can lead to complications such as mucosal ulcerations, perforations, obstruction, abscess, and fistula formation. Patients exhibit symptomatology based on the location within the proximal or distal esophagus. Ingestion of a sharp foreign object warrants emergent endoscopic removal, particularly when lodged in the esophagus. We present two young children, a 30-month-old male and a 10-month-old male, who underwent emergent endoscopic evaluation following the ingestion of a jingle bell and a Christmas ornament hanger, respectively. Types of ingested sharp foreign bodies may vary during the holiday season and present unique diagnostic and therapeutic challenges for pediatric physicians. Additionally, foreign body ingestions are not limited to children including teenagers and should also be considered in infants. Here, we report two young patients who ingested unique holiday ornaments and describe the management of these impacted esophageal foreign bodies.
食管内的尖锐物体极其危险，可导致诸如黏膜溃疡、穿孔、梗阻、脓肿及瘘管形成等并发症。患者的症状表现取决于异物位于食管近端还是远端。摄入尖锐异物后需紧急进行内镜取出，尤其是当异物嵌顿在食管时。我们报告两名幼儿，一名30个月大的男性和一名10个月大的男性，他们分别在误食了一个铃铛和一个圣诞饰品挂钩后接受了紧急内镜评估。在节日期间，摄入的尖锐异物类型可能有所不同，这给儿科医生带来了独特的诊断和治疗挑战。此外，异物摄入并不局限于儿童，青少年甚至婴儿也应予以考虑。在此，我们报告两名误食独特节日饰品的年轻患者，并描述这些嵌顿性食管异物的处理方法。
