Colonic obstruction after ingested gravel and stone

Abstract

This case concerns a 10-year-old boy with a history of behavioral abnormality that arrived at our surgical emergency room with acute abdominal discomfort. The boy had acute colitis-like clinical symptoms resulting from ingested and retained foreign bodies in the colon. These foreign bodies (gravel and stones) had accumulated in the entire colon over a period of 1 year. Attempts to dislodge the foreign bodies from the rectum by mechanical means failed; therefore the possibility of surgical intervention was considered in view of the worsening colitis. However, the problem was finally resolved by repeated basketting by colonoscopy, antibiotics and later laxatives. The case is noteworthy because of the extent of the condition, difficulty of the decision-making, and the relative success of watchful conservative measures.

A Rare Cause of Colonic Obstruction: Dentures

“…7 Fark edilmeden yutulan diş protezlerinin önemli bir kısmı üst gastrointestinal sistemde tıkanıklık yapmasıyla tanımlanır, kolona geçişi nadir görülmektedir. 5 İleo-çekal valvden geçebilen cisimler sorunsuz olarak kolondan geçmesi beklenir. Fakat malignite gibi kolonda darlık oluşturan nedenlerin varlığında, ilgili segmente impakte olarak komplikasyon oluşturma riski artmaktadır.…”

“…4 Fakat yutulan yabancı cisimlerin çok sayıda olması veya eşlik eden malignite durumlarında cerrahi gerektiren kolon obstrüksiyonu gelişebilir. 5,6 Dört ay önce kazara yutulan diş protezinin splenik fleksurada oluşturduğu obstrüksiyonu nedeniyle cerrahi rezeksiyon yapılan olgumuzu sunmayı amaçladık. …”

Extraordinary cause of complete colonic obstruction in children: Urinary retention

“…The etiological factors include invagination, volvulus, Hirschsprung disease and imperforate anus. 2,3 Meticulous investigation should be performed in order to expose the exact pathology.…”

“…First, this syndrome is extremely rare and has been described in several published reports, most of which reported cases associated with the complex congenital heart defect, HLHS. [1][2][3][4] In this setting, the associated genetic syndrome and pulmonary hypoplasia have a huge impact on clinical outcome in patients with HLHS. [5][6][7] Hypoplastic lung in combination with HLHS has also been reported in patients with Scimitar syndrome.…”

“…The most common causes of this worrisome situation are Hirschsprung disease, meconium plug syndrome, imperforate anus, invagination, and volvulus. [1][2][3][4] Urinary retention (UR) is defined as inability to urinate voluntarily despite urine present in the bladder. 5 UR may be idiopathic, but may also be associated with anatomical and neurological problems, psychogenic causes, trauma, urinary tract infection (UTI) and constipation.…”