Gastrointestinal Traumatic Injuries

Revell, Maria A.; Pugh, Marcia A.; McGhee, Melanie

doi:10.1016/j.cnc.2017.10.014

Cited by 19 publications

(16 citation statements)

References 13 publications

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“…In the 90% of ingested foreign bodies, they pass through the gastrointestinal tract without complications as punching or obstruction, but in the up to 10% of the case, they required an endoscopic or open/laparoscopic surgical removal [ 4 , 5 ]. The foreign body ingestion is a commonly seen in emergency setting [ 7 , 8 ]. It may accidentally occur in children, elderly, edentulous patients, patients with neurological disorders, and addicted patients or intentionally in psychiatric patients or prisoners.…”

Section: Discussionmentioning

confidence: 99%

“…The most common sites of perforation are the ileocaecal junction and sigmoid colon. Other potential sites are the duodenojejunal flexure, appendix, colonic flexure, diverticula, and the anal sphincter [ 8 ]. Exploratory laparotomy has been the main treatment for patients requiring surgery.…”

Section: Discussionmentioning

confidence: 99%

“…In the diagnosis management, CT scan is a mandatory requirement to orient the endoscopic or surgical management. In case of bowel perforation, the correct management should be the precocious removal of the foreign body, the suture of the breach, and the toilette of the abdominal cavity in order to reduce the septic risk and restore bowel function [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

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Management of Small Bowel Perforation by a Bizarre Foreign Body in a 55-Year-Old Woman

D'Auria

Consalvo

Canero

et al. 2018

Case Reports in Surgery

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Introduction Ingestion of foreign bodies including dentures, fishbone, screw, and/or surgical devices can be a cause of morbidity, and it rarely could be fatal. Presentation of Case We present the first hitherto reported case of mussel shell ingestion, which caused acute abdominal pain in a 55-year-old woman. The shell pierced ileal loops, and it was found in the abdominal cavity. Discussion The accidental or voluntary ingestion of a foreign body is an uncommon event compared to the other causes of bowel perforation. It is fundamental to immediately remove the intestinal fluid, repair the tear, and prevent sepsis, because each delay in diagnosis can lead to a worst outcome. Conclusion In case of bowel perforation, it important for surgeons, who are dealing with these acute care patients, to be aware of different designs and constructions of possible foreign bodies, in order to be prepared to deal with different possible scenarios and be able to manage them properly.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Management of Small Bowel Perforation by a Bizarre Foreign Body in a 55-Year-Old Woman

D'Auria

Consalvo

Canero

et al. 2018

Case Reports in Surgery

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“…Extent of the perforation. Bowel perforation from abdominal trauma is more extensive than a polypectomy site colonic perforation [19].…”

Section: Presentation Diversitymentioning

confidence: 99%

Gastrointestinal Tract Leak: Is It One Entity or Spectrum of Conditions?

Tuma

2020

Cureus

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Gastrointestinal (GI) leak is a well-known and catastrophic surgical complication. Its impact on patients, surgeons, and the healthcare system is tremendous. Efforts to constraint the occurrence and consequences of GI leak contributed to better assessment and management planning, especially with advanced technology. Detail information about the problem extent and new management options became available and effective for specific categories. Therefore, a full and accurate assessment and understanding of the disease presentation assists in choosing the appropriate management plan. The pathophysiologic process encompasses a severe inflammatory process with a superimposed infection inside sterile body tissue and cavities initiated by contaminated GI leaked content. The extent of the morbidity resulting from GI perforation and leak is variable and may not be predictable. Leak might not be the same in every case. Patients with GI leak present at variable severity depending on several factors. Accordingly, management should be individualized to target the underlying pathophysiology and the extent of the complication. Operative intervention and repair of the perforation site surgically or endoscopically are the standard of care frequently used. However, it may not always be needed. In this article, a practical review of the diversity and underlying pathologies of GI leak will be presented to inform case-specific management plans.

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“…Perforation in digestive tracts is pretty common acute abdominal diseases, while delay in treatments may lead to severe intra-abdominal infection, septic shock or even death [1,2]. Because Chinese dates are generally taken in dietary eld, date kernels have been identi ed as the most leading (58%) cause of foodborne intestinal perforations [3].…”

Section: Introductionmentioning

confidence: 99%

Blind Dates - Potential Killers: Jujube Kernel Caused Enterobrosis Need to be Differentiated with Acute Appendicitis – A Chinese Single Center Case Series Study

Bao

Zhang

Liu³

et al. 2020

Preprint

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Background: Accidentally swallowed date kernels are high risk factors for enterobrosis. Most patients showed no obvious symptoms at the beginning but later developed lower abdominal pain, which should be differentiated with acute appendicitis, especially in elder patients without a clear medical history. This study investigated the clinical features, diagnosis and treatment of enterobrosis caused by accidentally swallowed kernel of Chinese date in adults. Methods: A retrospective analysis was performed on 14 cases of adult patients suffered from date kernel - induced enterobrosis during June 2016 to June 2019. All these patients received treatment in the first hospital of China medical university. Results: Eleven female and three male patients were diagnosed, and they were mainly in the middle to elderly age, with 12/14 patients (86%) above 50 years old. The main clinical manifestations were abdominal pain, with onset times from seven hours to four days, and all patients visited the emergency department. Physical signs of local or diffuse peritonitis were presented as guarding tenderness, rebounding, and increased rigidity. Through full-abdominal enhanced CT examination, high density linear objects were identified at the terminal or distal ileum segments in 11/14 (78%) patients. During emergent laparotomy, enterobrosis were found in all patients. Secondary perforations were also detected in 6/14 (42%) patients on the opposing side of the first puncturing sites. The fusiform kernels with two sharp tips were extracted by minimal enterotomies in 13 patients. In one patient with colonic perforation, sigmoid colostomy was performed. All patients were cured and 93% of them were discharged within two weeks. Conclusions: Full-abdominal enhanced CT examination is of great diagnostic value for the intestinal perforation caused by date kernels, and patients can benefit from early surgical treatment after definite diagnosis. Thorough exploration should be performed to detect whether a second perforation was formed on the contrary site of first piercing site. Caution should be taken to void “blind dates” ingestion, and special tools such as seeders and slicers are recommended to removal kernels in advance, thus prevent the potential killing threats of enterobrosis.

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Gastrointestinal Traumatic Injuries

Cited by 19 publications

References 13 publications

Management of Small Bowel Perforation by a Bizarre Foreign Body in a 55-Year-Old Woman

Management of Small Bowel Perforation by a Bizarre Foreign Body in a 55-Year-Old Woman

Gastrointestinal Tract Leak: Is It One Entity or Spectrum of Conditions?

Blind Dates - Potential Killers: Jujube Kernel Caused Enterobrosis Need to be Differentiated with Acute Appendicitis – A Chinese Single Center Case Series Study

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