Gastrointestinal complications of multiple foreign body ingestion with malrotation of the gut

Rajeev Redkar; Parag Janardhan Karkera; Mukunda Ramachandra; Flavia D'Souza; Janani Krishnan; Varun Hathiramani

doi:10.4103/2320-3846.147034

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CASE REPORT

Year : 2014 | Volume : 2 | Issue : 3 | Page : 103-106

Gastrointestinal complications of multiple foreign body ingestion with malrotation of the gut

Rajeev Redkar¹, Parag Janardhan Karkera², Mukunda Ramachandra², Flavia D'Souza², Janani Krishnan³, Varun Hathiramani³
¹ Department of Pediatric Surgery, Lilavati Hospital and Research Centre, Bandra; Department of Pediatric Surgery, Bai Jerbai Wadia Children's Hospital, Parel, Mumbai, Maharashtra, India
² Department of Pediatric Surgery, Bai Jerbai Wadia Children's Hospital, Parel, Mumbai, Maharashtra, India
³ Department of Pediatric Surgery, Lilavati Hospital and Research Centre, Bandra, Mumbai, Maharashtra, India

Correspondence Address:
Rajeev Redkar
14, Buildarch Terrace, 1st Floor, Sitladevi Temple Road, Mahim, Mumbai 400 016, Maharashtra
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/2320-3846.147034

Foreign body (FB) ingestion is a common problem in the pediatric age group, and most pass spontaneously through the gastrointestinal tract. But the presence of anatomical variants like malrotation of the gut may lead to complications. Our patient, a 5-year-old male presented with pain in the abdomen and radiological imaging diagnosed a metallic FB in the small bowel with ileo-ileal intussusception. Exploratory laparotomy with removal of FBs (metallic ring and cotton fiber bezoar), intussusception reduction followed by closure of perforations was done. The patient had an uneventful recovery. This case is perhaps the first instance of small bowel perforations and intussusception following FB ingestion in a child with malrotation of the gut.

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