Unrecognized foreign bodies in the gastrointestinal tract of developmentally delayed children: A case series

Devin R. Halleran, Manoochehr Karjoo, Mirza Bedar Bakht Beg, Tossaporn Seeherunvong

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Abstract Foreign body ingestion is very common in the pediatric population. Children with developmental delay are at an increased risk of foreign body ingestion for several reasons, including poor gross and fine motor control, prolonged oral phase, oral and pharyngeal dysphagia, impaired protective mechanisms, and difficulty communicating. Four patients between the ages of 3 and 18 years old with developmental delay presented with nonspecific gastrointestinal and pulmonary symptoms. Foreign bodies along the upper gastrointestinal tract were identified as the cause of these symptoms, and all four patients improved after endoscopic retrieval. A high index of suspicion should be had even in the absence of findings on routine imaging. Once symptoms are displayed, clinicians should aim to endoscopically or surgically remove the foreign body, depending on the location along the gastrointestinal tract.

Original languageEnglish (US)
Article number346
Pages (from-to)127-130
Number of pages4
JournalJournal of Pediatric Surgery Case Reports
Volume3
Issue number3
DOIs
StatePublished - May 1 2015
Externally publishedYes

Keywords

  • Developmentally delayed children
  • Feeding problem
  • Foreign body
  • Mental retardation
  • Upper endoscopy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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