Güniz YAŞÖZ, Safiye OZER ULKU, Yakup SÖĞÜTLÜ, Rabia ERGELEN, Defne ÇÖL, Suat BİÇER

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

Çocukluk çağında yabancı cisim yutulması oldukça sık görülen birdurumdur. Bazen toplu iğne, kürdan ya da ucu açık çengelli iğnegibi keskin yabancı cisimler de yutulmaktadır.13 aylık erkek bebek, çengelli iğne yutma süphesiyle acilservisimize getirildi. Altı saat önce bebeğin sağ omzundakiiğnenin kaybolduğunun fark edilmesi üzerine götürüldüğü özelbir hastanede çekilen düz batın grafisinde, çengelli iğnenin ucuaçık olarak pilorda olduğu görülerek bir üniversite hastanesineyönlendirildi. Pediatrik acil servisimize başvurduğunda tekrarlananbatın grafisinde ucu açık çengelli iğnenin duodenumun ilk kısmınailerlediği gözlemlendi. Hasta gözlem amacıyla hastaneye yatırıldı.Yirmi saat sonra çekilen kontrol grafisinde çengelli iğnenin çıkankolonda olduğu izlendi. Bebeğe oral beslenme başlandı ve ailesinedışkı kontrolü yapılması için eğitim verilerek poliklinik kontrolüneçağrıldı. Ertesi gün aileyle yapılan telefon görüşmesinde, ucu açıkçengelli iğnenin spontan olarak, dışkıyla atıldığı öğrenildi.Çengelli iğne yutan bebek ve çocuklar, endoskopi ve/veyacerrahi yapılmadan sadece klinik olarak komplikasyonsuz takipedilebilir. Yazımızda, çengelli iğne gibi keskin yabancı cisimyutulmasına dikkat çekmek amacıyla, spontan olarak dışkıylaatılan 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?

objects such as needles, toothpicks or open safety pins can also beingested.A 13-month-old-boy was admitted to our pediatric emergencydepartment with the suspicion of safety pin ingestion. The boy wastaken to a private hospital and an abdominal X-ray was obtained.The open safety pin was seen in the pylorus and he was referred toa university hospital. When he arrived to our pediatric emergencydepartment, an abdominal X-ray was retaken, and an open safetypin was seen in the first part of the duodenum. The patient washospitalized for observation. After twenty hours, a control X-raywas taken; the open safety pin was seen in the ascending colon.The child was discharged from hospital, and instructions weregiven to the family for watching his stool closely. The day after,we called the family and learned that the open safety pin waseliminated spontaneously from stool.Infants and children with safety pin ingestion can be closelyfollowed clinically without complication and there will be no needfor an endoscopy and/or surgery. An open safety pin ingested smallchild was reported with the aim to draw attention to safety piningestion.

Keywords:

Foreign body ingestion, Open safety pin, Blue bead,

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