Our Cases of Ingested Intra-abdominal Foreign Bodies That Require Surgical Intervention

Kızıltan, Remzi; Yılmaz, Özkan; Aras, Abbas; Toktaş, Osman; Batur, Abdulsamet; Ağar, Fatma; Ölmez, Şehmus; Kotan, Çetin

doi:10.5505/tjtes.2015.87400

Cited by 3 publications

(9 citation statements)

References 8 publications

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“…Also, accidental or inadvertent swallowing is also common in adults. Although foreign body ingestion is less common in the adult age group, the mortality and morbidity rate is higher [ 1 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, some complications may occur depending on the type of the foreign body, its characteristics (pointed, blunt tip), removal duration, and the number of objects. In these cases, various gastrointestinal system complications may be observed, including perforation, bleeding, ileus, fistulization, intussusception, and even sepsis [ 2 , 4 - 5 ]. Perforations are most commonly seen in the duodenum, ileocecal region, and rectosigmoid.…”

Section: Discussionmentioning

confidence: 99%

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CT Evaluation of Swallowed Foreign Bodies Located in the Gastrointestinal System

Deniz¹,

Turmak²

2022

Cureus

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Background and objective CT imaging is important in detecting the location and the structure of swallowed foreign bodies and assessing their complications, due to its features such as the ability to show the detailed anatomical structure and enable multiplanar examination. In this study, we aimed to analyze the CT findings of swallowed foreign bodies located in the gastrointestinal tract and compare them with the data in the existing literature. Materials and methods We conducted a retrospective archive study to achieve our goals. Patients who presented to our radiology department with the preliminary diagnosis of foreign body ingestion, abdominal pain, or acute abdomen and were found to have a foreign body in the gastrointestinal tract on CT between April 2018 and April 2021, especially those in whom the presence of a foreign body was confirmed by endoscopy or surgery, were included in our study. The patients were evaluated in terms of age, gender, foreign body type, foreign body localization, and complications. Results A total of 31 patients (15 males and 16 females) were included in the study. The patients’ age ranged from 1 to 67 years, and the mean age was 28.5 ±5.4 years. The most common foreign bodies found were metallic toy parts (n=11, 35%), and most of the foreign bodies were located in the ileum (n=9, 29%) of the patients. Complications were observed in nine patients (29%). In patients with complications, the most common finding was perforation (n=3, 38%). Conclusion When a CT exam is performed on patients with abdominal pain, the gastrointestinal tract should be carefully evaluated to determine if a foreign body is involved and to analyze the complications caused by the foreign body.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

CT Evaluation of Swallowed Foreign Bodies Located in the Gastrointestinal System

Deniz¹,

Turmak²

2022

Cureus

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“…Unintentionally ingested bodies frequently include pins, toothpicks, fish and chicken bones. Obstructions may also occur during consumption of normal foods or large morsels among adults with physiological narrowing or stricture resulting after surgery (3,4). The annual reported mortality rate among adults in the USA is approximately 1500.…”

mentioning

confidence: 99%

“…The annual reported mortality rate among adults in the USA is approximately 1500. Eighty to ninety percent of foreign bodies are expelled spontaneously from the body, while 10-20% can be removed with endoscopy, and 1% require surgery (3)(4)(5)(6). The factors determining the emergency approach adopted are the type of body, whether it is sharp or pointed, its location, and the patient's symptoms.…”

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confidence: 99%

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Retrospective Analysis of Management of Ingested Foreign Bodies in Emergency Department

Karaali¹,

KAYALI²,

Çinaroğlu³

et al. 2021

Acibadem Universitesi Saglik Bilimleri Dergisi

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Patients and Methods: This single center, retrospective study involved patients presenting to a tertiary emergency department with foreign bodies in the airway or gastrointestinal system. Non-traumatic, non-pregnant patients aged 18 or over were scanned through the ICD-10 diagnostic code. Age and sex, reasons for ingestion/insert on (unintentional, for suicide, or for sexual gratification), the type of object, test data, treatment, complications and mortality were recorded. Results:The mean age of the 189 patients included was 36, and 59.2% were women. Ingest on was unintentional in 86.2%, for suicide in 10.6%, and for sexual gratification in 3.2%. Unintentional ingestion was more common in women, while ingestion for self-harm was unique to men. Fish bones, pins, garlic, and teeth were most frequently encountered in unintentional ingestions. The most commonly ingested objects for self-harm were sharp items such as razor blades and nails. Flexible laryngoscopy was employed in 40.7% of cases and endoscopic interventions in 57.6%. Foreign bodies were removed with flexible laryngoscopy or endoscopy in 61.3% of cases, and surgery was performed on 6.9%. Foreign bodies were most encountered in the larynx-pharynx, esophagus, and stomach.None of the patients died. No complications were detected. Conclusion:Foreign body ingestion is a widespread, global clinical problem. Our hospital receives many presentations involving foreign body ingestion, and the emergency and gastroenterology departments have considerable experience in this area. The endoscopic approach was the safest and most effective method due to its high success and low complication rates.

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An extraluminal migration of a gastrointestinal foreign body to the anterior abdominal wall: A rare case report

Tola,

Tesso,

Moges

et al. 2024

International Journal of Surgery Case Reports

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Our Cases of Ingested Intra-abdominal Foreign Bodies That Require Surgical Intervention

Abstract: BACKGROUND:The aim of the present study was to review cases that required surgical intervention to remove ingested foreign bodies.

Cited by 3 publications

References 8 publications

CT Evaluation of Swallowed Foreign Bodies Located in the Gastrointestinal System

CT Evaluation of Swallowed Foreign Bodies Located in the Gastrointestinal System

Retrospective Analysis of Management of Ingested Foreign Bodies in Emergency Department

An extraluminal migration of a gastrointestinal foreign body to the anterior abdominal wall: A rare case report

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