Duodenal Foreign Body: Deceptive Imaging and Resourceful Management by Laparoscopic Gastro-Duodenoscopy
Background: Foreign body (FB) lodgement in duodenum is quite uncommon in children that often becomes a diagnostic and management challenge.
Case Report: A 4-year-old girl presented with ingestion of key. On x-ray abdomen, the key appeared to be lodged at the ileocecal junction. Diagnostic laparoscopy showed the FB present in duodenum. Laparoscopic trans-gastrotomy gastroduodenoscopy was performed and FB removed successfully.
Conclusion: This is a novel method which has rarely been performed previously and has good post-operative outcomes in terms of avoiding morbidity of duodenotomy.
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