Hanson Justin Ian, Bomar Paul, Kleist Sarah, Rogalla Denver, Crihfield Lori, Gutovitz Scott
Grand Strand Medical Center, Myrtle Beach, SC.
HCA Healthc J Med. 2023 Aug 29;4(4):303-308. doi: 10.36518/2689-0216.1470. eCollection 2023.
Pediatric foreign bodies (FBs) come in many shapes and sizes, and the method by which they enter the body can greatly impact the level of acuity at presentation. Most FBs in children are found in those younger than 5 years old, but the following 3 cases were found in adolescent patients.
We report on 3 adolescent patients who presented to a single community-based emergency department with the chief complaint of abdominal pain and were found to have complications of abdominal FBs. If undiagnosed, the initial indolent courses of FBs can lead to serious complications, as shown in these examples.
These cases emphasize the need for physicians to maintain a high level of suspicion, to perform detailed histories, and to consider advanced imaging despite reassuring vital signs or physical examination.
小儿异物有多种形状和大小,其进入人体的方式会极大地影响就诊时的急症程度。大多数儿童异物见于5岁以下儿童,但以下3例见于青少年患者。
我们报告3例青少年患者,他们因腹痛为主诉就诊于一家社区急诊科,被发现有腹部异物并发症。如这些例子所示,如果未被诊断,异物最初的隐匿病程可能会导致严重并发症。
这些病例强调医生需要保持高度怀疑,进行详细病史询问,并考虑进行高级影像学检查,尽管生命体征或体格检查结果令人放心。