Gastrointestinal foreign bodies

McCanse, Donald E.; Kurchin, Alexander; Hinshaw, J. Raymond

doi:10.1016/0002-9610(81)90342-1

Cited by 145 publications

(109 citation statements)

References 6 publications

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“…1,2 It is considered only when endoscopic retrieval has failed, or when complications of FB ingestion have occurred. These complications are usually due to GI perforation and have a wide spectrum of clinical presentations, including localized or generalized peritonitis, abdominal wall abscesses, and intra-abdominal abscesses.…”

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confidence: 99%

Laparoscopic Management of Complicated Foreign Body Ingestion: A Case Series

Chia

Wijaya

Wong

et al. 2015

International Surgery

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This study aims to demonstrate the safety and feasibility of laparoscopic management of complicated foreign body (FB) ingestion in a series of 5 patients. We present the merits of a minimally-invasive approach in this clinical setting from our series as well as published case reports. FB ingestion is occasionally complicated by abscess formation or perforation, requiring surgical intervention. Anecdotal reports of such cases managed by laparoscopic surgery have alluded to its merits over the conventional approach of open surgery. Over an 18-month period, 5 of 256 patients with FB ingestion at our unit were managed by laparoscopic surgery. Clinical and operative data were collected for this study. In all 5 cases, patients could not recall their FB ingestion and had normal plain radiographs. The diagnosis was made on a computed tomography (CT) scan. Laparoscopy was successfully employed to retrieve all FBs (fish bones), deroof abscesses, and primarily repair gastrointestinal perforations. The mean operative time was 69 minutes (55-85), utilizing 2 to 4 noncamera ports. There was no operative mortality and patients were discharged on average postoperative day (POD) 5 (2-8). Laparoscopic surgery is safe and feasible in small-diameter, complicated FB ingestion requiring surgical intervention and should be considered in similar patients. ed FB ingestion were successfully managed with minimally-invasive surgery (MIS). [4][5][6][7][8][9][10] The potential benefits of a laparoscopic approach in abdominal surgery are well known and include reduced postoperative ileus and pain, smaller incisions and superior cosmetic results, shorter duration of hospitalization, and earlier return to work and a decreased incidence of postoperative hernias. 4,11 This paper presents the largest case series to date of 5 consecutive patients, who were managed via laparoscopic approach for complicated FB ingestion. We aim to review and report the salient clinical features of this series of patients to demonstrate that laparoscopic management is safe, feasible, and should be considered when managing FB ingestions in a similar clinical setting. Materials and MethodsOver an 18-month period, 256 patients presented with FB ingestion to our center. Of these, 5 patients were managed surgically via laparoscopic approach. Records of relevant clinical and demographic data, presenting symptoms, investigations, operative procedures, and length of hospitalization were reviewed after obtaining Institutional Review Board (IRB) approval. Operative findings and data were collected. These included FB size, location, number of ports used, and total operative time.

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confidence: 99%

Laparoscopic Management of Complicated Foreign Body Ingestion: A Case Series

Chia

Wijaya

Wong

et al. 2015

International Surgery

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“…Fish bone perforation is a previously well-documented cause of gastrointestinal perforation [8,9]. However, to our knowledge, fish bone perforation masquerading as acute appendicitis with no definite site of perforation being identified is novel.…”

Section: Discussionmentioning

confidence: 95%

Fish Bone Perforation Mimicking Acute Appendicitis

Almoudaris

2011

J Med Cases

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Fish bone ingestion is relatively common, however, resultant perforation of the small bowel is fortunately rare. We present a case of a 48-year-old gentleman who attended our emergency department complaining of severe, unrelenting right lower abdominal pain for the preceding five hours. CT scanning suggested a perforated appendix however at operation the appendix was normal. Several loops of small bowel walling off an inter-loop abscess and a fishbone were discovered in the washout fluid. A diagnosis of small bowel fish bone perforation was made intra-operatively and the patient subsequently made a full recovery without the need for bowel resection. We present this as a rare case of small bowel perforation by a fish bone where the site of perforation was unidentifiable but was treated successfully without the need for bowel resection.

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“…Most of the foreign bodies are disposed through the stool without causing any problems and only 1.0% (the ones that are long with pointed tips) cause perforation of the intestinal tract, usually at the ileum level. 1,2 Materials that most often cause gastrointestinal system (GIS) perforation are pointed materials such as fish bones, chicken bones, and toothpicks. 7 However, pens, nails, nail clippers, batteries, and pegs may also cause GIS perforation.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the foreign bodies are disposed with stool without causing any problems and only 1.0% cause perforation of intestinal tract, usually at the ileum level. 1,2 Foreign bodies may cause a clinical process involving perforation, obstruction, and fistula which may be fatal. Computerized tomography (CT) is the method of choice when diagnosing swallowed foreign bodies and their caused complications in the pre-operative period.…”

Section: Introductionmentioning

confidence: 99%

Small Bowel Perforation Due to a Fishbone: A Case Report

Pülat¹

2015

Tr J Emerg Med

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a b s t r a c tAccidental ingestion of foreign bodies are a common condition in clinical practice. However, small bowel perforation which dues to ingestion foreign bodies has been rarely seen. In this article, we report a case of small bowel perforation which dues to ingestion foreign body. A 80-year-old female patient, presenting with complaints of acute abdomen, was admitted to the emergency department. She denied abdominal pain, nausea and vomiting. The patient had tenderness and defense on the right lower quadrant. Contrast enhanced abdominal computed tomography has been used on the patient's diagnosis. This revealed small bowel perforation due to the ingestion of foreign body. The patient was operated emergency. A microperforation due to fish bone was detected on the terminal ileum. The patient underwent debridement and primary repair. The patient was discharged postoperative 7th day without problem. Bowel perforation due to the ingestion of foreign bodies should be considered in the differential diagnosis of acute abdomen.

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Gastrointestinal foreign bodies

Cited by 145 publications

References 6 publications

Laparoscopic Management of Complicated Foreign Body Ingestion: A Case Series

Laparoscopic Management of Complicated Foreign Body Ingestion: A Case Series

Fish Bone Perforation Mimicking Acute Appendicitis

Small Bowel Perforation Due to a Fishbone: A Case Report

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