Double duodenal perforation following foreign body ingestion

Abstract

Intentional ingestion of a foreign body in adults is a rare clinical presentation. This case is one of a 27-year-old Sudanese man who presented having swallowed a ballpoint pen intentionally. Clinical examination and plain chest radiograph exhibited no signs indicative of perforation with only a raised C reactive protein identified on blood tests. Subsequent gastroscopy revealed that the pen had simultaneously perforated the duodenum at both D1 and D3 requiring removal via a laparotomy. The patient fully recovered and was discharged 2 weeks postoperatively following psychiatric input.

Diagnosis and management of duodenal perforations: a narrative review

“…Ingested foreign bodies generally pass through the gastrointestinal tract without complications. Less than 1% cause perforations [35][36][37][38]. Sharp and thin foreign bodies have been associated with a higher perforation risk.…”

Resultados del Tratamiento Quirúrgico de la Perforación Intestinal Causada por Ingestión de Mondadientes. Aportación de 3 Casos

“…cia que señala que hasta el 83% de PI por CE ocurren en el ileon distal (Song et al, 2020). No obstante ello, existe evidencia de perforación duodenal (Ragazzi et al, 2010;Hashash et al;Gardner et al, 2017), como ocurrió en uno de los casos reportados en este artículo.…”

“…En general, los pacientes con PI por CE ingerido consultan en servicios de urgencias por cuadros de abdomen agudo, peritonitis, abscesos, fístulas, obstrucción intestinal o hemorragia gastrointestinal (Syrakos et al, 2008;Dente et al, 2010;Gardner et al).…”