A Case of Preoperatively Diagnosed Penetrative Peritonitis of the Ileum Using Mdct, Caused by Mis-Swallowing a PTP (Press Through Package)

裕文, 諏訪; 久人, 小林; 昭寛, 古田; 信雄, 馬場; 博暉, 小川; 四郎, 坂梨

doi:10.3919/jjsa.68.486

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…Inadvertent PTP ingestion is being diagnosed more frequently in cases of foreign bodies in the digestive tract . Radiological tests play a very important role in revealing the location of PTPs that have been inadvertently swallowed.…”

Section: Discussionmentioning

confidence: 99%

“…For example, Suwa et al . reported that, although conventional CT could not detect a PTP, they arrived at a definitive diagnosis with MDCT volume rendering (VR) images …”

Section: Discussionmentioning

confidence: 99%

“…Removal of a PTP with UGI endoscopy should be attempted as soon as possible after swallowing to avoid future complications. Previously, most published reports concerned hospitalized patients who suffered from peritonitis due to intestinal or colonic perforation caused by one or more ingested PTPs . To our knowledge, only one report has evaluated the usefulness of MDCT in the ED for PTP detection in the UGI tract .…”

Section: Discussionmentioning

confidence: 99%

“…For patients presenting with mistakenly swallowed press‐through packages (PTPs), detection is difficult because of their radiolucency. However, there are increasing reports that the location of a PTP can be detected by multidetector computed tomography (MDCT) . We present three such cases, together with a review of published work, to emphasize the importance of early diagnosis.…”

Section: Introductionmentioning

confidence: 93%

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Multidetector computed tomography to detect ingested press‐through packages: utility of multiplanar reconstruction imaging in the emergency department

Takeda

Yaguchi

Harada

et al. 2014

Acute Medicine & Surgery

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Case:We investigated the usefulness of multidetector computed tomography during examination in the emergency department to detect the location of press-through packages that had been inadvertently swallowed. In three patients, four press-through packages were detected on multi-planar reconstruction of multidetector computed tomography images, with three lodged in the esophagus and one in the stomach.Outcome: The multidetector computed tomography detection rate of press-through packages was 100% in patients who realized they had swallowed the packages by mistake. After diagnosis, press-through packages in the esophagus were immediately removed endoscopically. Conclusion:There are few reports on the usefulness of multi-planar reconstruction images by multidetector computed tomography during examinations in the emergency department for the diagnosis of foreign bodies in patients who have mistakenly swallowed press-through packages. Detecting the location of the packages provided useful information regarding the strategy for their removal. Therefore, proactive multidetector computed tomography use in the emergency department could be beneficial for patients who have inadvertently swallowed press-through packages.

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Section: Discussionmentioning

confidence: 99%

“…For example, Suwa et al . reported that, although conventional CT could not detect a PTP, they arrived at a definitive diagnosis with MDCT volume rendering (VR) images …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 93%

See 2 more Smart Citations

Multidetector computed tomography to detect ingested press‐through packages: utility of multiplanar reconstruction imaging in the emergency department

Takeda

Yaguchi

Harada

et al. 2014

Acute Medicine & Surgery

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A Case of Ileal Penetration With Crohn's Disease Due to a Press Through Package Diagnosed Preoperatively

紳祐¹,

英明²,

玲子³

et al. 2012

Journal of Japan Society of Coloproctology

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An 84-year-old woman who had been followed for Crohn s Disease was admitted due to lower abdominal pain and a fever. A CT scan on admission showed a thickened wall of the terminal ileum, and extraluminal air in the mesenterium. A subsequent CT scan revealed ileal penetration due to a Press Through Package (PTP), and we performed ileocecal resection. The patient had a good postoperative course. This is the first report of patient penetration or perforation by PTP with Crohn s Disease, and we report this case and review the relevant literature. Although this is a rare cause of intestinal perforation, multi-planar exams using MDCT may help precise diagnosis, especially in elderly patients with intestinal stenosis.

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A Case With Two Consecutive Intestinal Perforations Caused by Press Through Packaging

伸晃¹,

洋²,

英至³

et al. 2009

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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A Case of Preoperatively Diagnosed Penetrative Peritonitis of the Ileum Using Mdct, Caused by Mis-Swallowing a PTP (Press Through Package)

Cited by 5 publications

References 5 publications

Multidetector computed tomography to detect ingested press‐through packages: utility of multiplanar reconstruction imaging in the emergency department

Multidetector computed tomography to detect ingested press‐through packages: utility of multiplanar reconstruction imaging in the emergency department

A Case of Ileal Penetration With Crohn's Disease Due to a Press Through Package Diagnosed Preoperatively

A Case With Two Consecutive Intestinal Perforations Caused by Press Through Packaging

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