Intestinal Perforation by Foreign Bodies

Madrona, Antonio Piñero; Hernández, Juan Ángel Fernández; Prats, Milagros Carrasco; Riquelme, Juan; Paricio, Pascual Parrilla

doi:10.1080/110241500750009140

Cited by 151 publications

(94 citation statements)

References 12 publications

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“…Accidental ingestion of FBs is a mishap encountered more commonly at the extremes of life, and the most common sites of perforation are the ileocecal and rectosigmoid regions [5]. In our case, although we did not detect any pathological changes related to the GI tract intraoperatively, we supposed an excessive fibrotic reaction in the ileocecal region secondary to ileocecal perforation.…”

Section: Discussionmentioning

confidence: 37%

Right-Sided Hydronephrosis Secondary to Swallowing a Headscarf Pin

Alkan¹,

Ozkanli

Balbay³

2013

Urol Int

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A majority of foreign objects ingested pass through the gastrointestinal tract without any complications. Sometimes, complications such as perforation and adhesions of the neighboring organs occur and surgical treatment becomes necessary. We report the case of a 22-year-old female who was admitted with right flank pain. Past medical history revealed that the patient had accidentally swallowed a headscarf pin 11 months earlier. A computed tomography scan confirmed the swallowed foreign body posterior to and around the ileocecal region. The headscarf pin, causing stenosis and proximal ureteral dilatation, was removed surgically. To the authors' knowledge there has been no previous report of such ureteral obstruction published in the English literature.

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Section: Discussionmentioning

confidence: 37%

Right-Sided Hydronephrosis Secondary to Swallowing a Headscarf Pin

Alkan¹,

Ozkanli

Balbay³

2013

Urol Int

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“…The region of intestinal perforation can be identified on CT scans as an intestinal segment with thickened walls, increased mesenteric fat density, and gas in the peritoneal cavity, the last often limited to the point of perforation. Because intestinal perforation is caused by impaction and progressive erosion of the foreign body in contact with the intestinal wall, the perforation site is typically covered with fibrin, omentum, and other intestinal loops, thus limiting the passage of large amounts of gas into the peritoneal cavity (13) .…”

Section: Discussionmentioning

confidence: 99%

Intestinal perforation by an ingested foreign body

et al. 2016

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ObjectiveTo identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body.Materials and MethodsThis was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with those described in the literature.ResultsNone of the patients reported having ingested a foreign body, all were over 60 years of age, three of the four patients used a dental prosthesis, and all of the foreign bodies were elongated and sharp. In all four patients, there were findings indicative of acute abdomen. None of the foreign bodies were identified on conventional X-rays. The computed tomography findings suggestive of perforation were thickening of the intestinal walls (in all four cases), increased density of mesenteric fat (in all four cases), identification of the foreign body passing through the intestinal wall (in three cases), and gas in the peritoneal cavity (in one case).ConclusionIn cases of foreign body ingestion, intestinal perforation is more common when the foreign body is elongated and sharp. Although patients typically do not report having ingested such foreign bodies, the scenario should be suspected in elderly individuals who use dental prostheses. A computed tomography scan can detect foreign bodies, locate perforations, and guide treatment. The findings that suggest perforation are thickening of the intestinal walls, increased mesenteric fat density, and, less frequently, gas in the peritoneal cavity, often restricted to the point of perforation.

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“…Fish bones commonly perforate sites with acute angulations such as the ileocecal junction or the flexures of the colon [5]. They may rarely perforate the appendix or a Meckel’s diverticulum [3].…”

Section: Discussionmentioning

confidence: 99%

“…This is a well-recognized feature of perforations caused by fish bones as the perforation is caused by impaction and progressive erosion of the FB through the intestinal wall. This also limits the passage of large amounts of intraluminal air into the peritoneal cavity making it difficult to be detected in radiography [5]. The increasing use of laparoscopy for appendicectomy and as a tool for initial exploration of abdominal sepsis has helped in diagnosing this type of rare condition, preventing the morbidity of a laparotomy for patients [11].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopically detected and nonsurgically managed ileal perforation by an ingested fish bone: a case report

Chandrasinghe

Pathirana²

2015

J Med Case Reports

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IntroductionIleal perforation due to fish bone is a rare event. The condition is difficult to diagnose due to lack of specific clinical features and low sensitivity of imaging techniques. We report a case of ileal perforation by a fish bone that was detected laparoscopically and managed nonsurgically.Case presentationA 45-year-old Sinhalese man presented with acute onset right iliac fossa pain and fever for three days. On examination, he had significant right iliac fossa tenderness and guarding. His white cell count and C-reactive protein level were elevated and an ultrasound scan was indicative of a bowel mass formation. A clinical diagnosis of acute appendicitis was made and laparoscopic appendicectomy was scheduled. At initial survey, a thin spike-like structure was retrieved from the bowel mass, which was revealed to be a fish bone. Our patient was managed with antibiotics only and did not develop any complications.ConclusionsIleal perforation due to fish bone is a rare condition that can mimic common conditions like appendicitis. Preoperative diagnosis is rarely made. The slow process of fish bone migration results in concomitant sealing of the perforation, reducing contamination. Use of laparoscopy may be useful in diagnosing this condition and preventing the morbidity of laparotomy in these patients.

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Intestinal Perforation by Foreign Bodies

Cited by 151 publications

References 12 publications

Right-Sided Hydronephrosis Secondary to Swallowing a Headscarf Pin

Right-Sided Hydronephrosis Secondary to Swallowing a Headscarf Pin

Intestinal perforation by an ingested foreign body

Laparoscopically detected and nonsurgically managed ileal perforation by an ingested fish bone: a case report

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