Small bowel obstruction from hollow foreign body ingestion: A case report and brief review of literature

Crain, Matthew A.; Lakhani, Dhairya A.; Kuhnlein, Ryan; Balar, Aneri B.; S, Neptune; Parrish, Dan W.; Shorter, Nicholas A.; Adelanwa, Ayodele; Nguyen, Thuan-Phuong; Hailemichael, Eyassu

doi:10.1016/j.radcr.2021.04.025

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…Contrast-enhanced CT was not performed in any patient, and our scoring system showed that it should be considered for children classi ed as Class C. This was attributed to pediatricians' judgment that contrast-enhanced CT was unnecessary. Contrast-enhanced CT is useful for identifying foreign bodies (11) and should be aggressively considered, especially in the presence of gastrointestinal symptoms due to the misingestion of a radiolucent object. Changing the recommendation for children classi ed into Class C into "contrast-enhanced CT may be considered" would be better.…”

Section: Discussionmentioning

confidence: 99%

Prospective evaluation of a novel scoring system for managing foreign body ingestion in children

Miyamoto,

Iwayama,

Takahashi

et al. 2024

Preprint

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BACKGROUND: This study aimed to evaluate a recently developed scoring system for managing foreign body ingestion in children. METHODS: We developed a foreign-body ingestion scoring system to help residents determine the appropriate course of actionin the emergency department. The assessment items included the patient's age, mood, and gastrointestinal symptoms, as well as the type, location, and size of the ingested foreign body. The pediatric patients were divided into three categories: observation at home (Class A), pediatrician consultation (Class B), and pediatrician consultation considering contrast-enhanced CT for possible gastrointestinal injury (Class C). RESULTS: The treatment of 158 children was evaluated using the coring system, 79 of whom had confirmed foreign body ingestion. Class A resulted in a higher rate of follow-up, whereas the rate of invasive treatment increased significantly when rated as Class B or C. Few cases of unnecessary invasive treatment arose, and the recommendations suggested by the scoring system closely matched the results obtained using the reference management algorithm. CONCLUSIONS: The novel scoring system will be useful to residents when considering the appropriate course of action to manage foreign body ingestion in pediatric patients.

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Section: Discussionmentioning

confidence: 99%

Prospective evaluation of a novel scoring system for managing foreign body ingestion in children

Miyamoto,

Iwayama,

Takahashi

et al. 2024

Preprint

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“…On admission, venous blood gas analysis revealed a pH of 7.538 (7.35–7.45), bicarbonate 29.1 mmol/L20–25 and lactate of 3.9 mmol/L. An abdominal X-ray was arranged, which showed no obvious signs of bowel obstruction.…”

Section: Investigationsmentioning

confidence: 99%

Small bowel obstruction secondary to phytobezoar in a patient with myotonic dystrophy

Harrison,

Santoro,

Ellerby

et al. 2023

BMJ Case Rep

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A male patient in his 30s, with myotonic dystrophy (DM), presented to the emergency department with abdominal pain and vomiting. CT imaging revealed a soft tissue lesion in the terminal ileum causing small bowel obstruction (SBO). The patient underwent diagnostic laparoscopy which allowed identification and removal of the obstructing lesion. This was in the form of an intact, undigested potato, a phytobezoar. Bezoars are collections of undigested material found in the gastrointestinal (GI) tract, a phytobezoar is composed of plant material and is the most common form of bezoar. DM is a multisystem disorder characterised by skeletal muscle weakness, however it often presents with GI symptoms and the muscles of mastication are often affected. DM is a known risk factor for bezoar formation and should be considered as an important differential in DM patients presenting with SBO.

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“…1 However, SBO has another unusual cause, such as a foreign body or has been occurred post-traumatic. [4][5][6] Congenital peritoneal encapsulation (CPE) is a congenitally scarce condition where the accessory peritoneal membrane is encapsulated the small bowel. 7 Other syndromes with small bowel encapsulation are abdominal cocoon syndrome (ACS) and sclerosing encapsulating peritonitis (SEP).…”

Section: Introductionmentioning

confidence: 99%

“…Remainder causes include small bowel tumors, Crohn disease, and others 1 . However, SBO has another unusual cause, such as a foreign body or has been occurred post‐traumatic 4–6 …”

Section: Introductionmentioning

confidence: 99%

Chronic constipation and acute small bowel obstruction due to small bowel encapsulation: A case report

Hajimirzaei,

Abbasi,

Alamdari

et al. 2023

Clinical Case Reports

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Key Clinical MessagePeritoneal encapsulation is most of the time asymptomatic and is found incidentally, but when symptomatic it usually presents with bowel obstruction. CT scan is a gold standard for the diagnosis of bowel encapsulation.AbstractCongenital peritoneal encapsulation (CPE), abdominal cocoon syndrome (ACS), and sclerosing encapsulating peritonitis (SEP) are syndromes in which the small bowel is encapsulated. Small bowel encapsulation is usually asymptomatic and rarely presents with small bowel obstruction. In this article, we report a 65‐year‐old man who presented to our hospital with signs and symptoms of small bowel obstruction. He underwent an urgent operation, and small bowel encapsulation was diagnosed. One year after the surgery, all symptoms improved.

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Small bowel obstruction from hollow foreign body ingestion: A case report and brief review of literature

Cited by 4 publications

References 10 publications

Prospective evaluation of a novel scoring system for managing foreign body ingestion in children

Prospective evaluation of a novel scoring system for managing foreign body ingestion in children

Small bowel obstruction secondary to phytobezoar in a patient with myotonic dystrophy

Chronic constipation and acute small bowel obstruction due to small bowel encapsulation: A case report

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