Case Report

A Three-Year-Old Boy With an Epinephrine Ampoule in the Stomach: A Case Report

Abstract

Ingested Foreign Bodies (FB) frequently occur in pediatric patients. The most commonly ingested foreign bodies are coins, magnets, batteries, small toys, jewelry, buttons, and bones in decreasing order of frequency. A three-year-old boy referred to the emergency room with incidental ingestion of an ampoule of epinephrine. The radiography data demonstrated the location of the ingested ampoule in the stomach. The upper endoscopy was performed; however, the object had already passed through the pylorus. The following day, he passed the ampoule without complications. Our case was pretty unique because the most commonly ingested FBs in the pediatric population include coins followed by magnets, batteries, and so on. Asymptomatic patients having no dangerous FB could be observed until either presenting something abnormal or uneventfully passing the FB.

[1] Denney W, Ahmad N, Dillard B, Nowicki MJ. Children will eat the strangest things: A 10-year retrospective analysis of the for- eign body and caustic ingestions from a single academic center. Pediatric Emergency Care. 2012; 28(8):731-4. [DOI:10.1097/ PEC.0b013e31826248eb] [PMID]
[2] Seo JK. Endoscopic management of gastrointestinal foreign bodies in children. Indian Journal of Pediatrics. 1999; 66(1 Suppl):S75-80. [PMID]
[3] Louie MC, Bradin S. Foreign body ingestion and aspiration. Pediatrics in Review. 2009; 30(8):295-301. [DOI:10.1542/pir.30-8-295] [PMID]
[4] Kay M, Wyllie R. Pediatric foreign bodies and their management. Current Gastroenterology Reports. 2005; 7(3):212-8. [DOI:10.1007/ s11894-005-0037-6] [PMID]
[5] Hesham A-Kader H. Foreign body ingestion: Children like to put objects in their mouth. World Journal of Pediatrics. 2010; 6(4):301-10. [DOI:10.1007/s12519-010-0231-y] [PMID]
[6] Pinto A, Muzj C, Gagliardi N, Pinto F, Setola FR, Scaglione M, et al. Role of imaging in the assessment of impacted foreign bodies in the hypopharynx and cervical esophagus. Seminars in Ultrasound, CT, and MR. 2012; 33(5):463-70. [DOI:10.1053/j.sult.2012.06.009] [PMID]
[7] Lim CW, Park MH, Do HJ, Yeom JS, Park JS, Park ES, et al. Factors associated with removal of impacted fishbone in children, suspected ingestions. Pediatric Gastroenterology, Hepatology & Nutrition. 2016; 19(3):168-74. [DOI:10.5223/pghn.2016.19.3.168] [PMID] [PMCID]
Files
IssueVol 5 No 2 (2020): Spring QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/crcp.v5i2.3839
Keywords
Epinephrine hydrochloride Endoscopy Foreign body
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Malekiantaghi A, Mohammadpour Ahranjani B, Eftekhari K. A Three-Year-Old Boy With an Epinephrine Ampoule in the Stomach: A Case Report. CRCP. 2020;5(2):43-46.