Gastric perforation with foreign body granuloma formation caused by a short hair—a case report

ObjectiveThis case report presents the diagnosis and treatment process of a rare case of gastric perforation caused by a short hair, leading to the formation of a foreign body granuloma in a child.Case ReportThe patient was a 3-year-old boy who was admitted to the hospital with persistent abdominal...

Full description

Saved in:
Bibliographic Details
Main Authors: Gang Shen, Yunpeng Zhai, Huashan Zhao, Rui Guo, Hongxiu Xu, Sai Huang, Shisong Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2025.1521428/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849773744788078592
author Gang Shen
Yunpeng Zhai
Huashan Zhao
Rui Guo
Hongxiu Xu
Sai Huang
Shisong Zhang
author_facet Gang Shen
Yunpeng Zhai
Huashan Zhao
Rui Guo
Hongxiu Xu
Sai Huang
Shisong Zhang
author_sort Gang Shen
collection DOAJ
description ObjectiveThis case report presents the diagnosis and treatment process of a rare case of gastric perforation caused by a short hair, leading to the formation of a foreign body granuloma in a child.Case ReportThe patient was a 3-year-old boy who was admitted to the hospital with persistent abdominal pain and fever for more than 20 days. Ultrasound and CT revealed a foreign body and inflammatory encapsulation in the abdominal cavity. Laparoscopic and open surgeries were performed, revealing a full-thickness gastric wall perforation approximately 2 mm in diameter on the greater curvature side of the stomach, which was in contact with the abscess and contained purulent fluid and short hair approximately 1.5 cm long. The intraoperative diagnosis was hair-induced gastric perforation, leading to intra-abdominal foreign body inflammatory granuloma. Granuloma excision, gastric perforation repair, and partial transverse colon resection were performed. Postoperative pathological results revealed a gastric perforation with surrounding acute and chronic inflammation, and the diagnosis was a reactive fibrous granulomatous lesion. The patient recovered well after surgery, and follow-up for one year revealed no significant abnormalities.ConclusionHair-induced gastric perforation leading to a foreign body granuloma formation is a rare disease. Imaging examinations play a key role in diagnosis, and surgical resection is the main treatment method.
format Article
id doaj-art-13742e74ecc34ea78d3d51a2301e0f15
institution DOAJ
issn 2296-2360
language English
publishDate 2025-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pediatrics
spelling doaj-art-13742e74ecc34ea78d3d51a2301e0f152025-08-20T03:01:58ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-03-011310.3389/fped.2025.15214281521428Gastric perforation with foreign body granuloma formation caused by a short hair—a case reportGang ShenYunpeng ZhaiHuashan ZhaoRui GuoHongxiu XuSai HuangShisong ZhangObjectiveThis case report presents the diagnosis and treatment process of a rare case of gastric perforation caused by a short hair, leading to the formation of a foreign body granuloma in a child.Case ReportThe patient was a 3-year-old boy who was admitted to the hospital with persistent abdominal pain and fever for more than 20 days. Ultrasound and CT revealed a foreign body and inflammatory encapsulation in the abdominal cavity. Laparoscopic and open surgeries were performed, revealing a full-thickness gastric wall perforation approximately 2 mm in diameter on the greater curvature side of the stomach, which was in contact with the abscess and contained purulent fluid and short hair approximately 1.5 cm long. The intraoperative diagnosis was hair-induced gastric perforation, leading to intra-abdominal foreign body inflammatory granuloma. Granuloma excision, gastric perforation repair, and partial transverse colon resection were performed. Postoperative pathological results revealed a gastric perforation with surrounding acute and chronic inflammation, and the diagnosis was a reactive fibrous granulomatous lesion. The patient recovered well after surgery, and follow-up for one year revealed no significant abnormalities.ConclusionHair-induced gastric perforation leading to a foreign body granuloma formation is a rare disease. Imaging examinations play a key role in diagnosis, and surgical resection is the main treatment method.https://www.frontiersin.org/articles/10.3389/fped.2025.1521428/fullhairgastric perforationforeign body granulomasurgical treatmentchild
spellingShingle Gang Shen
Yunpeng Zhai
Huashan Zhao
Rui Guo
Hongxiu Xu
Sai Huang
Shisong Zhang
Gastric perforation with foreign body granuloma formation caused by a short hair—a case report
Frontiers in Pediatrics
hair
gastric perforation
foreign body granuloma
surgical treatment
child
title Gastric perforation with foreign body granuloma formation caused by a short hair—a case report
title_full Gastric perforation with foreign body granuloma formation caused by a short hair—a case report
title_fullStr Gastric perforation with foreign body granuloma formation caused by a short hair—a case report
title_full_unstemmed Gastric perforation with foreign body granuloma formation caused by a short hair—a case report
title_short Gastric perforation with foreign body granuloma formation caused by a short hair—a case report
title_sort gastric perforation with foreign body granuloma formation caused by a short hair a case report
topic hair
gastric perforation
foreign body granuloma
surgical treatment
child
url https://www.frontiersin.org/articles/10.3389/fped.2025.1521428/full
work_keys_str_mv AT gangshen gastricperforationwithforeignbodygranulomaformationcausedbyashorthairacasereport
AT yunpengzhai gastricperforationwithforeignbodygranulomaformationcausedbyashorthairacasereport
AT huashanzhao gastricperforationwithforeignbodygranulomaformationcausedbyashorthairacasereport
AT ruiguo gastricperforationwithforeignbodygranulomaformationcausedbyashorthairacasereport
AT hongxiuxu gastricperforationwithforeignbodygranulomaformationcausedbyashorthairacasereport
AT saihuang gastricperforationwithforeignbodygranulomaformationcausedbyashorthairacasereport
AT shisongzhang gastricperforationwithforeignbodygranulomaformationcausedbyashorthairacasereport