Açık uçlu çengelli iğne yutulması: Pediatrik bir vaka: Girişim gerektirmeden çıkar mı?

Yıl 2017, , 130 - 133, 14.05.2017

Guniz Yasoz Suat Bıcer Safiye Ulku Ozer Yakup Sogutlu Rabia Ergelen Defne Col

https://doi.org/10.5472/marumj.344831

Öz

Çocukluk çağında yabancı cisim yutulması oldukça sık görülen bir

durumdur. Bazen toplu iğne, kürdan ya da ucu açık çengelli iğne

gibi keskin yabancı cisimler de yutulmaktadır.

13 aylık erkek bebek, çengelli iğne yutma süphesiyle acil

servisimize getirildi. Altı saat önce bebeğin sağ omzundaki

iğnenin kaybolduğunun fark edilmesi üzerine götürüldüğü özel

bir hastanede çekilen düz batın grafisinde, çengelli iğnenin ucu

açık olarak pilorda olduğu görülerek bir üniversite hastanesine

yönlendirildi. Pediatrik acil servisimize başvurduğunda tekrarlanan

batın grafisinde ucu açık çengelli iğnenin duodenumun ilk kısmına

ilerlediği gözlemlendi. Hasta gözlem amacıyla hastaneye yatırıldı.

Yirmi saat sonra çekilen kontrol grafisinde çengelli iğnenin çıkan

kolonda olduğu izlendi. Bebeğe oral beslenme başlandı ve ailesine

dışkı kontrolü yapılması için eğitim verilerek poliklinik kontrolüne

çağrıldı. Ertesi gün aileyle yapılan telefon görüşmesinde, ucu açık

çengelli iğnenin spontan olarak, dışkıyla atıldığı öğrenildi.

Çengelli iğne yutan bebek ve çocuklar, endoskopi ve/veya

cerrahi yapılmadan sadece klinik olarak komplikasyonsuz takip

edilebilir. Yazımızda, çengelli iğne gibi keskin yabancı cisim

yutulmasına dikkat çekmek amacıyla, spontan olarak dışkıyla

atılan açık çengelli iğne yutmuş olan bebek rapor edilmiştir.

Anahtar Kelimeler

Yabancı cisim yutulması, Ucu açık çengelli iğne, Nazar boncuğu

Open safety pin ingestion: A pediatric case: Can it be spontaneously eliminated or not?

Öz

objects such as needles, toothpicks or open safety pins can also be

ingested.

A 13-month-old-boy was admitted to our pediatric emergency

department with the suspicion of safety pin ingestion. The boy was

taken to a private hospital and an abdominal X-ray was obtained.

The open safety pin was seen in the pylorus and he was referred to

a university hospital. When he arrived to our pediatric emergency

department, an abdominal X-ray was retaken, and an open safety

pin was seen in the first part of the duodenum. The patient was

hospitalized for observation. After twenty hours, a control X-ray

was taken; the open safety pin was seen in the ascending colon.

The child was discharged from hospital, and instructions were

given to the family for watching his stool closely. The day after,

we called the family and learned that the open safety pin was

eliminated spontaneously from stool.

Infants and children with safety pin ingestion can be closely

followed clinically without complication and there will be no need

for an endoscopy and/or surgery. An open safety pin ingested small

child was reported with the aim to draw attention to safety pin

ingestion.

Anahtar Kelimeler

Foreign body ingestion, Open safety pin, Blue bead

Kaynakça

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