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    This document describes a unique technique for removing an open safety pin that was lodged in a child's small bowel. The pin was first observed moving through the child's digestive tract over several days using x-rays. When the pin opened in the small bowel, a laparotomy was performed. During surgery, the pin was closed and negotiated into the appendix, and an appendectomy was then done to remove it, avoiding the need for a small bowel resection. This novel approach proved effective both during and after the operation.

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    Foreign body

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    This document describes a unique technique for removing an open safety pin that was lodged in a child's small bowel. The pin was first observed moving through the child's digestive tract over several days using x-rays. When the pin opened in the small bowel, a laparotomy was performed. During surgery, the pin was closed and negotiated into the appendix, and an appendectomy was then done to remove it, avoiding the need for a small bowel resection. This novel approach proved effective both during and after the operation.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    6 views1 page

    Foreign Body

    Uploaded by

    chepauk srivatsa
    This document describes a unique technique for removing an open safety pin that was lodged in a child's small bowel. The pin was first observed moving through the child's digestive tract over several days using x-rays. When the pin opened in the small bowel, a laparotomy was performed. During surgery, the pin was closed and negotiated into the appendix, and an appendectomy was then done to remove it, avoiding the need for a small bowel resection. This novel approach proved effective both during and after the operation.

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    © All Rights Reserved
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    of 1

    UNIQUE TECHNIQUE OF FOREIGN BODY REMOVAL

    DR.JAI DURAIRAJ
    PRESENTER: DR.C.SRIVATSA
    GENERAL SURGERY POSTGRADUATE
    SAVEETHA MEDICAL COLLEGE
    CHEPAUKSRIVATSA@GMAIL.COM
    9003069736

    INTRODUCTION
    Foreign body ingestion is a common problem in children. Safety pin ingestion common in India.
    Currently, several methods are being used for the removal of different foreign bodies. We
    describe a unique method for the removal of an open safety pin in the small bowel(proximal
    ileum).

    METHOD
    A 1yr old baby presented to OPD with history of ingestion of closed safety pin and crying post
    ingestion. X-ray abdomen showed closed pin at jejunum.Repeat x-ray done after 48 hrs showed
    closed pin at distal ileum and child was comfortable and screened with repeated supine and
    lateral x ray .Day 4 and day 6, the closed pin was observed to be in transverse and sigmoid
    colon .Day 8,Child had episode of blood stained stool the repeat x-ray showed open safety pin
    in impacted stool at sigmoid colon. Using C-arm guidance, Colonoscopy was attempted but
    foregin body could not be visualised within the lumen . Hence planned mini- laparotomy, safety
    pin was present in proximal ileum. The pin was closed intra lumenly then negotiated into
    appendix and appendectomy done. Post op second day child was discharged.

    DISCUSSION
    Closed pin on day 0, trial by natural evacuation was tried. Colonoscopy was done to remove the
    pin assuming it's in the sigmoid colon. But once it's found to be in the Small bowel, the pin was
    negotiated to appendix and appendectomy was done to avoid resection anastamosis. If child is
    symptomatic and FB opened, early intervention with endoscopic or surgical intervention is
    necessary.

    CONCLUSION:
    The unique technique of removing foregin body present intralumen in small bowel via
    appendicectomy avoiding resection anastamosis found to be effective intra operative and
    postoperatively .

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