Ingested Foreign Body Causing Duodenal and Colonic Perforati
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Most ingested foreign bodies usually pass uneventfully through the gastrointestinal tract.Few may cause complications and require surgical interventions. We report a 1.5 year old child who ingested hair clip and presented with vomiting and obstruction.An 18 month old female infant admitted with complaints of abdominal pain, constipation, and bilious vomiting for two days.On examination, abdomen was distended and tender. Abdominal x-rays revealed dilated bowel loops and a hair clip in the abdominal cavity. Laboratory investigations were within normal ranges. Ultrasound abdomen revealed dilated bowel loops.On exploration, there was bilious fluid was present in peritoneal cavity.Hair clip was noted in fourth part of duodenum.Two ends of hair clip were protruding through two duodenal perforations (1 cm apart).On further exploration, a perforation of sigmoid colon was also present. Duodenum was mobilized and hair clip was removed. Duodenum was closed in single layer with interrupted sutures.Colonic perforation was also repaired....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5423886/
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