Can a foreign body migrate against natural body barriers?
| Autor: | Ahmed G. Elkhouly, Amr A. Arafat, Abdel-Hady M. Taha, Abdelmotagaly Elgalad |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Child abuse
medicine.medical_specialty Sternum business.industry foreign bodies pain pediatrics pericardium thoracic surgery 030204 cardiovascular system & hematology medicine.disease Chest pain Intracardiac injection Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Swallowing Cardiothoracic surgery 030225 pediatrics Pediatrics Perinatology and Child Health Medicine Pericardium Foreign body medicine.symptom business |
| Zdroj: | Annals of Pediatric Surgery; Vol 13, No 3 (2017); 157-159 |
| ISSN: | 1687-4137 |
| DOI: | 10.1097/01.xps.0000508438.29481.2e |
| Popis: | Pericardial foreign bodies (FBs) are a rare cause of chest pain in children. They can reach the pericardium through several routes including direct or iatrogenic implantation, transbronchial or transesophageal migration of inhaled or swallowed FBs. We reported a case of a 4-year-old girl presenting with persistent chest pain for 1 month. The child described the pain as ‘stitching’ in nature localized on the left side of the sternum. The child presented with increased pain intensity and a new onset of fever and cough. No history of chocking or swallowing of FB and no signs of trauma or child abuse were noted. Chest radiography revealed a needle in the left side of the chest. Computed tomography scan and echocardiography were used to precisely localize the needle and exclude intracardiac extension. ECG showed elevated ST segment and cardiac enzymes were normal. Removal of the needle was carried out surgically under fluoroscopic guidance. A small portion of the needle was found intrapericardially complicated by localized purulent pericarditis. The child had uneventful recovery and was discharged from the hospital on postoperative day 3. Keywords: foreign bodies, pain, pediatrics, pericardium, thoracic surgery |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|