A foreign body ingestion is a frequent situation during the childhood and that, sometimes, can implicate doing an endoscopy to solve the clinical picture.
The most frequent items are coins, dentures, toys and medication containers.
When it causes symptoms, generally, they are due to a lesion caused by the object; It tends to cause pain and rigidity to abdominal palpation. It may cause no symptoms and end up being expelled during defecation.
The diagnosis is clinical, reached through questioning and a full physical examination. Laboratory and imaging tests (abdominal X-ray or CT-scan) are used to confirm the presence of the foreign body.
Treatment is based on controlling the pain with common analgesics, and the removal of the foreign body (fibroendoscopy or surgery).
- George Triadafilopoulos. Ingested foreign bodies and food impactions in adults. UpToDate. Jan 07, 2016.
- Sheth P, Finkelstein E, Campbell D, Danton GH. Imaging of foreign bodies in prisoners. Semin Ultrasound CT MR 2015; 36:28.
- Ribas Y, Ruiz-Luna D, Garrido M, et al. Ingested foreign bodies: do we need a specific approach when treating inmates? Am Surg 2014; 80:131.
- Palta R, Sahota A, Bemarki A, et al. Foreign-body ingestion: characteristics and outcomes in a lower socioeconomic population with predominantly intentional ingestion. Gastrointest Endosc 2009; 69:426.
- Eisen GM, Baron TH, Dominitz JA, et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc 2002; 55:802.
- Marta Romero Gutiérrez, José María Carrobles Jiménez, Alejandro Repiso Ortega. Cuerpos extraños en el aparato digestivo. Manual de protocolos y actuación en urgencias. Hospital Virgen de la Salud, Complejo Hospitalario de Toledo. Tercera edición. 2010. 243:250

