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An unusual cause of acute upper gastrointestinal obstruction in a child. A case report

A 9 month old boy was admitted to our hospital with sudden onset of bilious vomiting. Nothing remarkable was detected on physical examination and his abdomen was not distended. The laboratory investigations were within normal limits. Abdominal radiograph showed prominent gastric shadow with paucity...

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Main Authors: Abd. Aziz, Azian, Govindarajan, Krishna Kumar, KRA, Mohanaprakash
Format: Conference or Workshop Item
Language:English
Published: 2011
Subjects:
RJ101 Child Health. Child health services
Online Access:http://irep.iium.edu.my/11760/1/Poster_Intestnal_Obstruction_from_FB_ingestion.pdf
http://irep.iium.edu.my/11760/
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spelling my.iium.irep.117602013-04-26T08:40:40Z http://irep.iium.edu.my/11760/ An unusual cause of acute upper gastrointestinal obstruction in a child. A case report Abd. Aziz, Azian Govindarajan, Krishna Kumar KRA, Mohanaprakash RJ101 Child Health. Child health services A 9 month old boy was admitted to our hospital with sudden onset of bilious vomiting. Nothing remarkable was detected on physical examination and his abdomen was not distended. The laboratory investigations were within normal limits. Abdominal radiograph showed prominent gastric shadow with paucity of bowel gas distally. Contrast study of the upper gastrointestinal tract revealed a paucity of contrast flow beyond the proximal jejunum with a ‘claw’ sign, which appear like an intussusception. Ultrasound abdomen performed at the same time did not demonstrate the usual appearance expected of an intussusception but revealed a well-defined fluid-filled ‘mass’. A radiological diagnosis of intestinal obstruction from a possible bowel duplication cyst was made and child was taken for surgery. Intra operatively, a firm mobile mass was felt in the jejunum and following enterotomy, two firm jelly-like foreign bodies were seen blocking the jejunal lumen causing obstruction. Mother later recalled that her older son had miniature toy in shapes of various animals which will expand to twice or triple the original size when submerged in water. She then remembered that her 9 months old child was seen playing with these and realized he might have swallowed them. The child had an uneventful post operative recovery and was discharged home well. Parents should be aware and cautious about this kind of toys which manufacturers called “growing toys / creatures”, which are made of hydrophilic polymer called hydrogel. In most countries these types of toys have been banned. 2011 Conference or Workshop Item REM application/pdf en http://irep.iium.edu.my/11760/1/Poster_Intestnal_Obstruction_from_FB_ingestion.pdf Abd. Aziz, Azian and Govindarajan, Krishna Kumar and KRA, Mohanaprakash (2011) An unusual cause of acute upper gastrointestinal obstruction in a child. A case report. In: 11th Congress of Asian Oceanic Society of Pediatric Radiology (AOSPR), 10 - 12 November 2011, Kartika Plaza Hotel, Bali, Indonesia. (Unpublished)
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic RJ101 Child Health. Child health services
spellingShingle RJ101 Child Health. Child health services
Abd. Aziz, Azian
Govindarajan, Krishna Kumar
KRA, Mohanaprakash
An unusual cause of acute upper gastrointestinal obstruction in a child. A case report
description A 9 month old boy was admitted to our hospital with sudden onset of bilious vomiting. Nothing remarkable was detected on physical examination and his abdomen was not distended. The laboratory investigations were within normal limits. Abdominal radiograph showed prominent gastric shadow with paucity of bowel gas distally. Contrast study of the upper gastrointestinal tract revealed a paucity of contrast flow beyond the proximal jejunum with a ‘claw’ sign, which appear like an intussusception. Ultrasound abdomen performed at the same time did not demonstrate the usual appearance expected of an intussusception but revealed a well-defined fluid-filled ‘mass’. A radiological diagnosis of intestinal obstruction from a possible bowel duplication cyst was made and child was taken for surgery. Intra operatively, a firm mobile mass was felt in the jejunum and following enterotomy, two firm jelly-like foreign bodies were seen blocking the jejunal lumen causing obstruction. Mother later recalled that her older son had miniature toy in shapes of various animals which will expand to twice or triple the original size when submerged in water. She then remembered that her 9 months old child was seen playing with these and realized he might have swallowed them. The child had an uneventful post operative recovery and was discharged home well. Parents should be aware and cautious about this kind of toys which manufacturers called “growing toys / creatures”, which are made of hydrophilic polymer called hydrogel. In most countries these types of toys have been banned.
format Conference or Workshop Item
author Abd. Aziz, Azian
Govindarajan, Krishna Kumar
KRA, Mohanaprakash
author_facet Abd. Aziz, Azian
Govindarajan, Krishna Kumar
KRA, Mohanaprakash
author_sort Abd. Aziz, Azian
title An unusual cause of acute upper gastrointestinal obstruction in a child. A case report
title_short An unusual cause of acute upper gastrointestinal obstruction in a child. A case report
title_full An unusual cause of acute upper gastrointestinal obstruction in a child. A case report
title_fullStr An unusual cause of acute upper gastrointestinal obstruction in a child. A case report
title_full_unstemmed An unusual cause of acute upper gastrointestinal obstruction in a child. A case report
title_sort unusual cause of acute upper gastrointestinal obstruction in a child. a case report
publishDate 2011
url http://irep.iium.edu.my/11760/1/Poster_Intestnal_Obstruction_from_FB_ingestion.pdf
http://irep.iium.edu.my/11760/
_version_ 1643606535525367808
score 13.211869

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