Upper gastrointestinal bleed in a toddler - an unusual encounter revealing foreign body ingestion | [Journal of Pakistan Medical Association • 2021]

Author(s):

1. Rahim Ahmed: Department of Paediatrics and Child Health, Aga Khan University Hospital,Karachi, Pakistan

2. Humaira Jurair: Department of Paediatrics and Child Health, Aga Khan University Hospital,Karachi, Pakistan

3. Kamran Sadiq: Department of Paediatrics and Child Health, Aga Khan University Hospital,Karachi, Pakistan

4. Qalab-e-Abbas: Department of Paediatrics and Child Health, Aga Khan University Hospital,Karachi, Pakistan

5. Anwar ul Haque: Department of Paediatrics and Child Health, The Indus Hospital network, Karachi, Pakistan.

Abstract:

Foreign body (FB) ingestion is common in children; however, management varies based on the object ingested, its location and clinical presentation. Urgent intervention is needed if any warning signs are present. We describe the case of a four-year-old child who presented with acute onset of life-threatening upper gastro intestinal bleeding. He had no other significant previous or present complaint, and results of lab workup were inconclusive. Endoscopic evaluation revealed a sharp and hard object which was removed. Postoperative period, duration of hospitalization and subsequent follow up were uneventful. Through this report, we wish to draw the attention of healthcare providers to the dangerous effects of FB ingestion and also emphasise that FB ingestion should be considered in differential diagnosis when unexplained upper GI haemorrhage symptoms occur acutely

Page(s): 1249-1251

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 71, Issue: 4, Year: 2021

Keywords:

Upper gastrointestinal bleed , Foreign body ingestion , Paediatrics

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