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article · INTERNATIONAL JOURNAL OF CLINICAL SCIENCE AND MEDICAL RESEARCH

Metallic Foreign Body Ingestion in A 5-Year-Old Child: The Plain Radiographic Findings and a Case Report

2025Open accessGombe State University

In plain language

A five-year-old male child with no history of mental instability ingested an oval metallic object. While many ingested metallic objects traverse the gastrointestinal tract without complications, items such as batteries, magnets, and sharp objects require rapid medical intervention to avert severe injuries. The child presented in a stable clinical condition and was referred from a peripheral healthcare facility for plain abdominal radiography. The resulting imaging identified an oval metallic density opacity measuring approximately ten millimetres by ten millimetres in the upper abdomen. Subsequent lateral projections indicated that the foreign body was descending inferiorly. The imaging demonstrated no signs of intestinal obstruction or other associated abnormalities. Following the radiographic evaluation, the child's parents were advised to consult a paediatric surgeon or gastroenterologist for specialised clinical management to prevent potential internal injury and complications.

Key takeaways

  • Plain abdominal radiographs confirmed the ingestion of an oval metallic foreign body measuring ten millimetres by ten millimetres in a stable five-year-old child.
  • Lateral imaging revealed that the metallic object was descending inferiorly through the digestive tract.
  • The radiographic assessment showed an absence of intestinal obstruction or other internal abnormalities.
  • Referral to paediatric surgery or gastroenterology was advised to manage the ingestion and prevent complications.

Why it matters

Accidental ingestion of foreign bodies is frequent among young children and can pose severe health risks depending on the object's characteristics. Plain radiography provides a straightforward, accessible diagnostic tool to identify the location, dimensions, and movement of ingested items. This helps medical teams assess the risk of intestinal obstruction and determine whether specialist intervention is necessary to safeguard the child's health.

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Abstract

Metallic foreign body ingestion in children is a common occurrence, especially among children aged below five years, and frequently involves items like coins, batteries and small toys. Most metallic objects pass through the digestive system without complications, certain objects such as batteries, multiple magnets, sharp and pointed objects require prompt intervention due to risk of serious injuries. This is a 5-year-old male child with no history of mental instability, was reported to have ingested an oval metallic object but in a stable condition. He was referred for abdominal radiographs from a peripheral facility. These radiographs demonstrated oval metallic density opacity in the upper abdomen measuring about 10mm x 10mm in dimension but noted to descend inferiorly on the lateral projection. No intestinal obstructive features demonstrated currently. No any other abnormality demonstrated. The parents were advised to consult a pediatric surgeon/gastroenterologist for expertise management and prevent associated injury and complication. We report a case of oval shaped metallic density foreign body ingestion in a 5-year-old mentally stable child due to its peculiar presentation

Research topics

  • Foreign Body Medical Cases
  • Traumatic Ocular and Foreign Body Injuries

Read the original research

This page summarises published work. The authoritative version sits with the publisher.

DOI: 10.55677/ijcsmr/v5i10-03/2025

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