Intestinal perforation by an ingested foreign body

Nicolodi, Gabriel Cleve; Trippia, Cesar Rodrigo; Caboclo, Maria Fernanda F. S.; Castro, Francisco Gomes de; Miller, Wagner Peitl; Lima, Raphael Rodrigues de; Tazima, Leandro; Geraldo, Jamylle

doi:10.1590/0100-3984.2015.0127

Cited by 47 publications

(43 citation statements)

References 14 publications

(14 reference statements)

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“…This type of perforation is often subclinical and not detected on routine imaging. [15,17] Postoperatively, our patient had appropriate return of bowel function. She was unaware of how the sheet of plastic was ingested.…”

Section: Discussionmentioning

confidence: 81%

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Paper or Plastic? A Foreign Body Ingestion Leading to Small Bowel Obstruction. A Case Report

Kerestes¹,

Smith²

2019

ARC Journal of Clinical Case Reports

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Background: The ingestion of a foreign body is a common event. It most often occurs in young children. When ingestion occurs in adults, it is usually incidental. Individuals with psychiatric disorders, patients with dentures, and those with alcohol dependencies are more likely to ingest a foreign body accidentally. Other adults are known to ingest fish or chicken bones accidentally. The majority of ingested foreign bodies pass through the gastrointestinal tract without any complications. The minority of ingested foreign bodies will require endoscopic intervention while only ~1% require surgical intervention. Case Description: A 91-year-old female with late-stage dementia presented with abdominal pain and vomiting of 1-day duration. Computed tomography obtained in the emergency room was suggestive of partial small bowel obstruction vs. ileus. She was treated conservatively with bowel rest. After 48 hours of failed medical management, she was taken to surgery. Exploratory laparotomy identified a firm, mobile mass in mid jejunum. Surgeons performed a small bowel resection. The specimen when opened revealed a tightly compacted sheet of plastic. Postoperative the patient did well and recovered without any complications. Conclusion: This incident is the first report of a mechanical small bowel obstruction caused by ingestion of a plastic bag. Our report highlights the practice of using multiple window-computed tomography views when evaluating a patient with intestinal obstruction.

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Section: Discussionmentioning

confidence: 81%

“…These perforations are usually caused by long, elongated, or sharp objects. [15,16] Although intestinal perforation can also be caused due to impaction which subsequently leads to bowel ischemia. This type of perforation is often subclinical and not detected on routine imaging.…”

Section: Discussionmentioning

confidence: 99%

Paper or Plastic? A Foreign Body Ingestion Leading to Small Bowel Obstruction. A Case Report

Kerestes¹,

Smith²

2019

ARC Journal of Clinical Case Reports

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“…However, from the point of view of clinical practice, the medical history, signs, and symptoms of digestive tract perforation are often atypical, which causes difficulties in clinical diagnosis and delays the opportunity for treatment. 4 The patient's condition was aggravated because the local hospital failed to accurately diagnose and identify the indication for operation in the early stage of the disease, which increased the difficulty of the operation and the risk of complications. After completing the necessary examinations and identifying the surgical indications, the patient underwent emergency subtotal gastrectomy, gastro-jejunal R-Y anastomosis, and abdominal lavage and drainage.…”

Section: Discussionmentioning

confidence: 99%

<p>Abdominal Pain After Subtotal Gastrectomy: A First Report of Accessory Pancreatic Fistula</p>

Zhang

Huang

Yang

2020

JPR

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Background: The accessory pancreatic duct (APD) is the main drainage duct of the dorsal pancreatic bud in the embryo and varies greatly during development. An APD fistula is a rare and easily neglected complication. In this case report, the first symptom of the patient was postoperative abdominal pain and fever. He was eventually diagnosed with accessory pancreatic fistula combined with duodenal fistula. Such a case has not been reported in the literature. Case Summary: A 66-year-old man was emergently hospitalized for abdominal pain. His preliminary diagnosis was perforation of the digestive tract. He developed fever and abdominal pain after emergency subtotal gastrectomy, followed by changes in the colour of the abdominal drainage fluid. An APD fistula and duodenal stump fistula were confirmed by drainage fluid amylase analysis, contrast fistulography and percutaneous transhepatic cholangial drainage (PTCD). After PTCD, nutritional management and drug treatment, the patient recovered well. Outcome: We found and successfully cured a case of accessory pancreatic duct fistula combined with duodenal stump fistula.

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“…Objects that can cause perforations are often long, hard and sharp most commonly fish bones, chicken bones, toothpicks and skewers. The risk of perforation is dependent on the nature and site of foreign body with thin, sharp or pointed objects having up to 35% perforation rates that mainly occurs in the small intestines due to many points of physiological angulations . Intestinal perforation due to blunt foreign bodies is rare, and rarer for a common dietary food to cause such perforation.…”

mentioning

confidence: 99%