Small Bowel Perforation by a Clinically Unsuspected Fish Bone: Laparoscopic Treatment and Review of Literature

Lunsford, Keri E.; Sudan, Ranjan

doi:10.1007/s11605-011-1610-y

Cited by 21 publications

(25 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…4,5,7,20,21 This was demonstrated in all the patients in our series, where there was no evidence of postoperative morbidity except for 1 patient in our series who developed an AMI.…”

Section: Discussionsupporting

confidence: 68%

“…Our case series suggests that MIS is safe and feasible when applied consistently to patients with FB ingestion who present in this particular manner, similar to numerous prior case reports. [4][5][6][7][8][9][10] The FBs found vary in different countries, reflecting the variation in dietary practices. In the Asian setting, the most common accidental dietary FB ingested tends to be fish bones.…”

Section: Discussionmentioning

confidence: 99%

“…3 While the mainstay of surgical management has been an abdominal laparotomy, there have been isolated case reports where patients with complicat-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.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Laparoscopic Management of Complicated Foreign Body Ingestion: A Case Series

Chia

Wijaya

Wong

et al. 2015

International Surgery

View full text Add to dashboard Cite

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.

show abstract

“…4,5,7,20,21 This was demonstrated in all the patients in our series, where there was no evidence of postoperative morbidity except for 1 patient in our series who developed an AMI.…”

Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Management of Complicated Foreign Body Ingestion: A Case Series

Chia

Wijaya

Wong

et al. 2015

International Surgery

View full text Add to dashboard Cite

show abstract

“…In our case, the ingestion of toothpick has rarely been mentioned in medical literature as a cause of gastrointestinal perforation. The majority of patients, up to 88 %, do not remember the ingestion of toothpicks (2) and present fever and abdominal pain, making preoperative diagnosis difficult (3,4). The risk factors which most frequently influence the ingestion of foreign bodies are simple oversight, fast food intake, the use of dentures, alcoholism, and drug abuse (5).…”

Section: Discussionmentioning

confidence: 99%

“…The perforation of the gastrointestinal tract occurs in less than 1 % of cases, particularly in areas of angulation, such as in the ileocecal region or the sigma-rectum (6). In some cases, it has been reported that foreign bodies have been retained in a Meckel's diverticulum, the appendix, or in a hernia (3). Foreign body impaction may be favored by adhesions, areas with diverticular processes or surgical anastomosis (5,7).…”

Section: Discussionmentioning

confidence: 99%

Value of laparoscopy in the treatment of cecal perforation by a foreign body: differential diagnosis of appendicitis

Ocaña

Arredondo

Martínez

et al. 2013

Rev. esp. enferm. dig.

View full text Add to dashboard Cite

A 24-year-old male, with no medical history of interest, who was admitted into emergency care for acute abdomen. The patient complained of pain in the right lower quadrant (RLQ) persisting for the last 48 hours, unrelated to any trigger. Initially, the pain was of moderate intensity, followed by associated fever, anorexia, and malaise. Initial analysis revealed a C-reactive protein of 2.4 mg/dL and a leukocyte count in the upper normal limit. Physical examination revealed Blumberg sign in the RLQ. Abdominal ultrasound resulted inconclusive, so the test was complemented with CT scan which revealed a foreign body piercing the cecum, with no pneumoperitoneum or peritonitis (Fig. 1). An emergency exploratory laparoscopy was performed which identified the foreign body to be a toothpick (wooden) traversing the cecum with minimal purulent material ( Fig. 2A). The foreign body was removed and the incision was sealed with three silk sutures (Fig. 2B). Patient was discharged uneventfully.

show abstract