Abstract
Foreign body ingestion is common in pediatrics. Management depends on the composition and the shape of the ingested objects. Small, non-caustic, non-toxic objects are considered low risk for complication after passing the lower esophageal sphincter and are allowed to pass spontaneously. This recommendation applies to straight pins less than 5 cm in length or with a weighted blunt end because evidence suggests that these items have a low probability of puncturing the gastrointestinal tract. Here, we present the case of 2 years boy who ingested a 10 cm, sharp-ended straight nail. In this case, the ingested nail was impacted in the duodenum. • Foreign body ingestion is a common in pediatrics. • Management depends on the composition and the shape of the ingested objects. • Foreign bodies generally do not cause any complications and pass through the gastrointestinal tract spontaneously within a week. • Endoscopic removal is proposed for pointed objects or objects bigger than 2.5 cm located in the stomach. • Objects longer than 6–8 cm located in the stomach should be removed by endoscopy or laparoscopy.
Published Version
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