Bowel perforation by crumpled paper in a patient presenting with acute abdominal pain

Abstract

Many of the abdominal foreign bodies are due to accidental ingestion. Our objective in this case report is to emphasize the importance of the enquiry about the foreign body in the differential diagnosis of acute abdominal pain. According to our knowledge, this is the first report of bowel perforation caused by paper ingestion. A 14-year-old boy with abdominal pain underwent exploratory laparotomy and was found to have abdominal pus and ileal perforation. A crumpled paper was found at the site of perforation. Postoperative enquiry revealed that the patient had ingested 10 crumpled papers. We highlight that recording the history is an important aspect in the management of patients with acute abdominal pain and that foreign bodies should be included in its differential diagnosis.

Difficulties in Diagnosing a Foreign Body in the Gastrointestinal Tract (Hydrogel) of a 10-Month-Old Child

“…Гранулы гидрогеля, всасывая воду и увеличиваясь в размерах, создают обтурационную непроходимость кишечника. При длительном нахождении в кишечнике гидрогелевые шарики вызывают перфорацию стенки кишки и перитонит [3,4,5], что может стать причиной летального исхода [6].…”

Decorative crystal balls causing intestinal perforation

“…A lot of gastrointestinal tract (GIT) foreign bodies have been recognized and some of them presented with intestinal perforation and peritonitis. [ 2 3 ] Herein, we are reporting, for the first time in the literature, a complication of crystal ball ingestion.…”