Duodenal Foreign Body: Deceptive Imaging and Resourceful Management by Laparoscopic Gastro-Duodenoscopy

  • RAHUL SAXENA ALL INDIA INSTITUTE OF MEDICAL SCIENCES, JODHPUR https://orcid.org/0000-0003-2835-8146
  • Ayushi Vig All India Institute of Medical Sciences, Jodhpur, India
  • Manish Pathak All India Institute of Medical Sciences, Jodhpur, India
  • Arvind Sinha All India Institute of Medical Sciences, Jodhpur, India
Keywords: Duodenal Foreign Body, Laparoscopic gastroduodenoscopy, Foreign body ingestion

Abstract

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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Author Biographies

RAHUL SAXENA, ALL INDIA INSTITUTE OF MEDICAL SCIENCES, JODHPUR

MBBS, MS, M.Ch, Assistant Professor, Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, 342005, India

Ayushi Vig, All India Institute of Medical Sciences, Jodhpur, India
  1. MBBS, Resident Doctor, Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, 342005, India
Manish Pathak, All India Institute of Medical Sciences, Jodhpur, India

MBBS, M.Ch, Associate Professor, Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, 342005, India

Arvind Sinha, All India Institute of Medical Sciences, Jodhpur, India
  1. MBBS, MS, M.Ch, Professor and Head, Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, 342005, India

References

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Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, Ben-Menachem T, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011; 73:1085–91.

Islam SR, Islam EA, Hodges D, Nugent K, Parupudi S. Endoscopic removal of multiple duodenum foreign bodies: An unusual occurrence. World J Gastrointest Endosc. 2010; 2:186–9.

Bhasin SK, Kachroo SL, Kumar V, Kumar R, Chandail VS. 7” long knife for 7 years in the duodenum: a rare case report and review of literature. Int Surg J. 2014; 1:29-32.

Jain A, Nag HH, Goel N, Gupta N, Agarwal AK. Laparoscopic removal of a needle from the pancreas. J Min Access Surg. 2013; 9:80-1.

Elsen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF, et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc. 2002; 55:802-6.

Published
2020-01-03
How to Cite
1.
SAXENA R, Vig A, Pathak M, Sinha A. Duodenal Foreign Body: Deceptive Imaging and Resourceful Management by Laparoscopic Gastro-Duodenoscopy. APSP J Case Rep [Internet]. 3Jan.2020 [cited 11Sep.2024];10:5. Available from: http://www.apspjcaserep.com/ojs1/index.php/ajcr/article/view/89
Issue
Vol 10 (2019): APSP Journal of Case Reports
Section
Case Reports and Letters

Copyright (c) 2020 RAHUL SAXENA, Ayushi Vig, Manish Pathak, Arvind Sinha

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