Spontaneous Expulsion of Ingested Foreign Bodies:Case Series and Review of Liteature

David Olorunfemi Samue L^1, , Oyewole Fatai Adegboyega² and Okpe Marilyn Ene³

¹Department of Internal Medicine, College of Health Sciences, Bingham University, Jos Campus

²Department of Radiology, Ahmadu Bello University Teaching Hospital, Shika

³Department of Pediatrics, Ahmad Bello University Teaching Hospital, Shika

Cite this paper

David Olorunfemi Samue L, Oyewole Fatai Adegboyega and Okpe Marilyn Ene. Spontaneous Expulsion of Ingested Foreign Bodies:Case Series and Review of Liteature. American Journal of Medical Case Reports. 2015; 3(9):272-275. doi: 10.12691/AJMCR-3-9-2

Abstract

The amount of foreign bodies that gains access to the Gastrointestinal Tract (GIT) on yearly basis is in millions. These are done by the two main routes to the tract, i. e the mouth and the anus. Ingestion of foreign bodies may be harmless but sometimes death in the region of 1000 – 3000 yearly may also happen. The vast majority of ingested foreign bodies into the GIT pass through the tract without significant incidence. Affected individuals may be going about with their normal daily activities without any form of bodily interruption. Up to 20 % of cases however will need some form of therapeutic intervention. 80 % of cases of ingestion of foreign bodies into the GIT have been shown to occur in children. Anal insertion of foreign bodies into the GIT on the other hand occurs most often in the adult age group. Foreign bodies in the GIT may also be seen in the psychiatric patients, inmates, chronic alcoholics, drug abusers, the elderly patients with poor fitting dentures as well as the mentally retarded individuals. While ingestion of foreign bodies into the GIT may be accidental (especially in children), or experimental (anal insertion by adults), it may be purely intentional as in smugglers of illicit drugs, jewels and other valuables so as to evade detection by the security.

Keywords

foreign bodies, ingestion, GIT

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Chen MK, Beierle EA. Gastrointestinal foreign bodies. Pediatr Ann. 2001;30:736-42.
[2]	Dahshan A. Management of ingested foreign bodies in children. J Okla State Med Assoc. 2001;94:183-6.
[3]	Arana A, Hauser B, Hachimi-Idrissi S, Vandenplas Y. Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr. 2001;160:468-72.
[4]	Eisen 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.
[5]	Ford MD. Clinical toxicology. Philadelphia: Saunders, 2001.
[6]	Cheng W, Tam PK. Foreign-body ingestion in children: experience with 1,265 cases. J Pediatr Surg. 1999;34:1472-6.
[7]	Pavlidis TE, Marakis GN, Triantafyllou A, Psarras K, Kontoulis TM, Sakantamis AK. Management of ingested foreign bodies. How justifiable is a waiting policy?. Surg Laparosc Endosc Percutan Tech. Jun 2008;18(3):286-7.
[8]	O'Hara SM, Donnelly LF, Chuang E, Briner WH, Bisset GS 3rd. Gastric retention of zinc-based pennies: radiographic appearance and hazards. Radiology. Oct 1999;213(1):113-7.
[9]	Robinson AJ, Bingham J, Thompson RL. Magnet induced perforated appendicitis and ileo-caecal fistula formation. Ulster Med J. Jan 2009;78(1):4-6.
[10]	Vijaysadan V, Perez M, Kuo D. Revisiting swallowed troubles: intestinal complications caused by two magnets--a case report, review and proposed revision to the algorithm for the management of foreign body ingestion. J Am Board Fam Med. Sep-Oct 2006;19(5):511-6.
[11]	Wraight WM, Belcher HJ, Critchley HD : Deliberate self-harm by insertion of foreign bodies into the forearm. J Plast Reconstr Aesthet Surg 61:700-3, 2008.
[12]	Palta R, Sahota A, Bemarki A, et al : Foreign-body ingestion: characteristics and outcomes in a lower socioeconomic population with predominantly intentional ingestion. Gastrointest Endosc 69:426-33, 2002.
[13]	Duncan M, Wong RK. Esophageal emergencies: things that will wake you from a sound sleep. Gastroenterol Clin North Am. 2003;32:1035-52.
[14]	Soprano JV, Mandl KD. Four strategies for the management of esophageal coins in children. Pediatrics. 2000; 105:e5.
[15]	Stricker T, Navratil F, Sennhauser FH: Vaginal foreign bodies. J Pediatr Child Health 40:205-7, 2004
[16]	Silverberg M, Tillotson R. Case report: esophageal foreign body mistaken for impacted button battery. Pediatr Emerg Care. Apr 2006;22(4):262-5.