Pediatric Recurrent Intentional Foreign Body Ingestion: Case Series and Review of the Literature.
Although foreign body ingestion (FBI) is a common pediatric referral concern, intentional or recurrent FBI (RFBI) in youth is poorly defined. In adults, several subgroups of patients with psychiatric comorbidities account for a large portion of FBIs. A similar classification system and corresponding management recommendations are yet to be outlined in pediatrics. We report 3 patients with RFBI: a 16-year-old, African American boy with 22 admissions and 27 endoscopic procedures for FBI removal; a 4-year-old, African American boy with autism spectrum disorder admitted twice after delayed presentation of ingestion of magnets; and a 15-year-old Caucasian girl with a complex mental health history who presented twice after intentional ingestion to self-harm. We also present a literature review of pediatric RFBI. Patients with RFBI require a nuanced, multidisciplinary management approach to address acute concerns and reduce subsequent ingestion. A behavioral taxonomy and treatment considerations are presented.
Journal of pediatric gastroenterology and nutrition
Low Kapalu, C. M., Ibrahimi, N., Mentrikoski, J. M., Attard, T. M. Pediatric Recurrent Intentional Foreign Body Ingestion: Case Series and Review of the Literature. Journal of pediatric gastroenterology and nutrition 71, 232-236 (2020).