Presentation
Foreign body (metal ring) ingestion.
Patient Data
The tracheal shadow and tracheal bifurcation are normal. Bilateral lung shows symmetrical inflation of air. The cardio mediastinal silhouette appears unremarkable. No abnormal pulmonary opacities. The hepatic and splenic shadows are normal. A radiopaque metallic ring is identified in the region of the stomach, in both views of the abdomen. The bowel gas pattern appears unremarkable.No features of pneumoperitoneum. The soft tissue of the chest, abdomen appears unremarkable.
Conclusion:
Radiopaque foreign body (the ring is identified in the region of the stomach)
Case Discussion
The surgical consultant was contacted and he advised to discharge the child with general pediatric surgery referral. Parents were instructed to bring the child to the hospital if she developed fever, hypoactivity refusal of feeding, skin rash vomiting or any new symptoms. Observe for 2-3 more days and to come back if still not passing for review and possible endoscopy retrieval. Discharged with safety net advice.
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