An unusual cause of acute upper gastrointestinal obstruction in a child. A case report

A 9 month old boy was admitted to our hospital with sudden onset of bilious vomiting. Nothing remarkable was detected on physical examination and his abdomen was not distended. The laboratory investigations were within normal limits. Abdominal radiograph showed prominent gastric shadow with paucity...

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Main Authors:	Abd. Aziz, Azian, Govindarajan, Krishna Kumar, KRA, Mohanaprakash
Format:	Conference or Workshop Item
Language:	English
Published:	2011
Subjects:	RJ101 Child Health. Child health services
Online Access:	http://irep.iium.edu.my/11760/ http://irep.iium.edu.my/11760/1/Poster_Intestnal_Obstruction_from_FB_ingestion.pdf

id	iium-11760
recordtype	eprints
spelling	iium-117602013-04-26T08:40:40Z http://irep.iium.edu.my/11760/ An unusual cause of acute upper gastrointestinal obstruction in a child. A case report Abd. Aziz, Azian Govindarajan, Krishna Kumar KRA, Mohanaprakash RJ101 Child Health. Child health services A 9 month old boy was admitted to our hospital with sudden onset of bilious vomiting. Nothing remarkable was detected on physical examination and his abdomen was not distended. The laboratory investigations were within normal limits. Abdominal radiograph showed prominent gastric shadow with paucity of bowel gas distally. Contrast study of the upper gastrointestinal tract revealed a paucity of contrast flow beyond the proximal jejunum with a ‘claw’ sign, which appear like an intussusception. Ultrasound abdomen performed at the same time did not demonstrate the usual appearance expected of an intussusception but revealed a well-defined fluid-filled ‘mass’. A radiological diagnosis of intestinal obstruction from a possible bowel duplication cyst was made and child was taken for surgery. Intra operatively, a firm mobile mass was felt in the jejunum and following enterotomy, two firm jelly-like foreign bodies were seen blocking the jejunal lumen causing obstruction. Mother later recalled that her older son had miniature toy in shapes of various animals which will expand to twice or triple the original size when submerged in water. She then remembered that her 9 months old child was seen playing with these and realized he might have swallowed them. The child had an uneventful post operative recovery and was discharged home well. Parents should be aware and cautious about this kind of toys which manufacturers called “growing toys / creatures”, which are made of hydrophilic polymer called hydrogel. In most countries these types of toys have been banned. 2011 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/11760/1/Poster_Intestnal_Obstruction_from_FB_ingestion.pdf Abd. Aziz, Azian and Govindarajan, Krishna Kumar and KRA, Mohanaprakash (2011) An unusual cause of acute upper gastrointestinal obstruction in a child. A case report. In: 11th Congress of Asian Oceanic Society of Pediatric Radiology (AOSPR), 10 - 12 November 2011, Kartika Plaza Hotel, Bali, Indonesia. (Unpublished)
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RJ101 Child Health. Child health services
spellingShingle	RJ101 Child Health. Child health services Abd. Aziz, Azian Govindarajan, Krishna Kumar KRA, Mohanaprakash An unusual cause of acute upper gastrointestinal obstruction in a child. A case report
description	A 9 month old boy was admitted to our hospital with sudden onset of bilious vomiting. Nothing remarkable was detected on physical examination and his abdomen was not distended. The laboratory investigations were within normal limits. Abdominal radiograph showed prominent gastric shadow with paucity of bowel gas distally. Contrast study of the upper gastrointestinal tract revealed a paucity of contrast flow beyond the proximal jejunum with a ‘claw’ sign, which appear like an intussusception. Ultrasound abdomen performed at the same time did not demonstrate the usual appearance expected of an intussusception but revealed a well-defined fluid-filled ‘mass’. A radiological diagnosis of intestinal obstruction from a possible bowel duplication cyst was made and child was taken for surgery. Intra operatively, a firm mobile mass was felt in the jejunum and following enterotomy, two firm jelly-like foreign bodies were seen blocking the jejunal lumen causing obstruction. Mother later recalled that her older son had miniature toy in shapes of various animals which will expand to twice or triple the original size when submerged in water. She then remembered that her 9 months old child was seen playing with these and realized he might have swallowed them. The child had an uneventful post operative recovery and was discharged home well. Parents should be aware and cautious about this kind of toys which manufacturers called “growing toys / creatures”, which are made of hydrophilic polymer called hydrogel. In most countries these types of toys have been banned.
format	Conference or Workshop Item
author	Abd. Aziz, Azian Govindarajan, Krishna Kumar KRA, Mohanaprakash
author_facet	Abd. Aziz, Azian Govindarajan, Krishna Kumar KRA, Mohanaprakash
author_sort	Abd. Aziz, Azian
title	An unusual cause of acute upper gastrointestinal obstruction in a child. A case report
title_short	An unusual cause of acute upper gastrointestinal obstruction in a child. A case report
title_full	An unusual cause of acute upper gastrointestinal obstruction in a child. A case report
title_fullStr	An unusual cause of acute upper gastrointestinal obstruction in a child. A case report
title_full_unstemmed	An unusual cause of acute upper gastrointestinal obstruction in a child. A case report
title_sort	unusual cause of acute upper gastrointestinal obstruction in a child. a case report
publishDate	2011
url	http://irep.iium.edu.my/11760/ http://irep.iium.edu.my/11760/1/Poster_Intestnal_Obstruction_from_FB_ingestion.pdf
first_indexed	2023-09-18T20:21:02Z
last_indexed	2023-09-18T20:21:02Z
_version_	1777408108287492096

An unusual cause of acute upper gastrointestinal obstruction in a child. A case report

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