Gastrointestinal perforations by ingested foreign bodies: A preoperative diagnostic flowchart-based experience. A case series report

Mejri, Atef; Yaacoubi, Jasser; Mseddi, Mohamed Ali; Omry, Ahmed

doi:10.1016/j.ijscr.2022.107216

Cited by 5 publications

(4 citation statements)

References 23 publications

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“…CT is a highly effective imaging modality when the ingestion of a foreign body is suspected. CT is sensitive in locating and identifying non-radio-opaque foreign bodies and also plays a vital role in identifying potential complications such as perforation or abscess [ 8 - 9 ].…”

Section: Discussionmentioning

confidence: 99%

Incidental Finding of a Fish Bone Perforation in the Pylorus Mimicking Acute Cholecystitis

Tong,

Alhayo,

Chu

2024

Cureus

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We present a case of a 43-year-old man with Crohn’s disease who presented with epigastric and right upper quadrant abdominal pain, initially suspected to be acute cholecystitis or a Crohn’s flare-up. CT revealed a curvilinear, hyperdense foreign body adjacent to the duodenum, concerning micro-perforation. Endoscopic examination confirmed findings of a 3 cm fish bone lodged in the pylorus. Endoscopic extraction was successful without significant mucosal damage, and the patient recovered well postoperatively. This case highlights the rarity of pyloric perforation secondary to fish bone ingestion and highlights the importance of considering this diagnosis in patients presenting with unexplained acute abdominal pain, as prompt recognition and intervention are essential for favorable outcomes.

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Section: Discussionmentioning

confidence: 99%

Incidental Finding of a Fish Bone Perforation in the Pylorus Mimicking Acute Cholecystitis

Tong,

Alhayo,

Chu

2024

Cureus

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“…The most common cause of bowel perforation vary from study to another; it could be chicken bones like in study of Madrona et al [2]; fishbones according to report of Chu et al in Hong Kong [10] and another of Goh et al [4]. Usually, the perforation site associated with swallowed pointed foreign bodies is the angulated bowel segment as rectosigmoid or ileocecal junctions, still it may happen in any site along the gastro intestinal tract [11].…”

Section: Discussionmentioning

confidence: 99%

“…We should consider intestine perforation in patient with acute abdomen signs with a history of swallowed foreign bodies, early diagnosis, and intervention is important in such patients [3][4][5][6]. This study will discuss a case of foreign body swallowing led to small intestine perforation and the process of diagnosis and surgical treatment.…”

Section: Introductionmentioning

confidence: 99%

Small Intestine Perforation due to Foreign Body: Case Report

Hosein

Eghtedari

2023

Dubai Med J

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Accidental ingestion of foreign bodies is a common condition in clinical practice. However, small bowel perforation due to ingestion of foreign bodies has been rarely seen. In this article, we report a case of small bowel perforation due to ingestion of foreign body. A 38-year-old female patient, presenting with complaints of acute abdomen for 2 days, was admitted to the emergency department. She denied nausea and vomiting. The patient had tenderness and positive rebound tenderness in the right lower quadrant. Contrast-enhanced abdominal computed tomography has been performed. This revealed distended ascending colon and oral contrast retention denoting delayed bowel emptying. The patient was operated for. A micro perforation due to fish bone was detected in the jejunum. The patient underwent debridement and primary repair. The patient was discharged postoperative 6th 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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“…In about 1% of patients, surgery is the only option of treatment as there is usually an attending complication from foreign body ingestion. These include perforations, bowel obstruction and airway obstruction [25][26][27]. This patient was also referred for mental health review, as he had a background history of clinical depression which could be a risk factor, although he claimed this was accidental, rather than an intentional act of self-harm.…”

Section: Discussionmentioning

confidence: 99%

Foreign Body Ingestion - A Case of a Tablespoon in the Oesophagus of a 48-Year-old Man

Egbunu¹,

Elendu²,

Chukwuonye³

et al. 2023

IJMPCR

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Foreign body in the esophagus is a common emergency presentation. A thorough history and systematic examination are followed by relevant investigations in the treatment of a patient with a foreign body in the esophagus. However, there is considerable disagreement about which treatment option is best for such patients. This review aims to develop a comprehensive approach towards patients presenting with foreign body ingestion by creating clinical practice guidelines. These guidelines, which are based on a review of the literature, cover not only the initial assessment of the patient but also the various management options and their benefits, limitations, and suitability for use in different situations.

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Gastrointestinal perforations by ingested foreign bodies: A preoperative diagnostic flowchart-based experience. A case series report

Cited by 5 publications

References 23 publications

Incidental Finding of a Fish Bone Perforation in the Pylorus Mimicking Acute Cholecystitis

Incidental Finding of a Fish Bone Perforation in the Pylorus Mimicking Acute Cholecystitis

Small Intestine Perforation due to Foreign Body: Case Report

Foreign Body Ingestion - A Case of a Tablespoon in the Oesophagus of a 48-Year-old Man

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