Chronic Perforation of the Sigmoid Colon by Foreign Body

Ali, Fawzi E.; Al-Busairi, Waleed A.; Esbaita, Emad Y.; Al-Bustan, Mahmoud

doi:10.1016/j.cursur.2004.12.014

Cited by 14 publications

(9 citation statements)

References 10 publications

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“…The presumed mechanism is ulceration caused by pressure necrosis; inflammation may be limited by the formation of adhesions, abscesses, or inflammatory masses. This mechanism seems to be supported by the multiple reports of prolonged time between ingestion and perforation [ 7 , 8 ].…”

Section: Discussionsupporting

confidence: 54%

Impalement injury by glass shard with delayed colonic perforation

Rosat¹,

Sánchez²,

Chocarro³

et al. 2015

Pan Afr Med J

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A 66-year-old man experienced a traumatic injury after a fall on top of a glass tea table, which caused some superficial lacerations all around the body. He was examined in the emergency room by a physician. The physician could not feel any foreign body upon wound exploration and sutured the laceration. Fourteen months after the injury, he developed progressive abdominal pain. On emergency room and abdominal x-ray showed a foreign body, which a CT scan revealed as an intraabdominal glass shard. The glass presumably impaled his abdominal wall as a result of his previous traumatic injury. The patient underwent laparotomy, which revealed a large glass (16x1cm) perforating the transverse colon. It was extracted and the perforation closed with a lineal stapler. There was no need of bowel resection and the patient was discharged home nine days after the intervention.

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Section: Discussionsupporting

confidence: 54%

Impalement injury by glass shard with delayed colonic perforation

Rosat¹,

Sánchez²,

Chocarro³

et al. 2015

Pan Afr Med J

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“… 3 Colon perforation can have radiologic and pathologic characteristics of intestinal inflammatory disease. 5 In the case reported abdominal X-ray was not taken but in chest X-ray pneumoperitoneum was not present. Ultrasound was not helpful in making the diagnosis.…”

Section: Discussionmentioning

confidence: 88%

Codfish may cause acute abdomen

Almeida

Rainho

Gouveia

2013

International Journal of Surgery Case Reports

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INTRODUCTIONForeign bodies ingestion is frequent and can cause several complications. Perforation is rare but can occur in any segment of the gastrointestinal tract. Fish bones are one of the most frequent objects responsible.PRESENTATION OF CASEA 77-year-old patient resorted to emergency room for severe abdominal pain with 5 days of evolution. A CT scan showed an undefined liquid collection involving a linear image with 25 mm, suggestive of a foreign body. On laparotomy an abscess was resected with a fish bone inside.DISCUSSIONBowel perforation by foreign bodies can mimic other abdominal emergency conditions. Since fish bone ingestion is usually not remembered, diagnosis can be late. Surgery is the treatment of choice and is most commonly performed by laparotomy.CONCLUSIONA low threshold of suspicion along with a good clinical history and radiological studies is extremely important in order to make a correct diagnosis.

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“…Acute perforations are usually by pointed objects whereas chronic perforations are mostly from nonpointed objects. 6 Chronic perforations are presumed to be due to long-standing impaction of the foreign body causing pressure necrosis and perforation, and limited inflammation by formation of adhesions, abscess, or inflammatory masses leading to nonspecific clinical manifestations. 6…”

Section: Discussionmentioning

confidence: 99%