Ingested bone fragment in the bowel: Two cases and a review of the literature

Emir, Seyfi; Özkan, Zeynep; Altınsoy, Hasan Baki; Yazar, Fatih Mehmet; Sözen, Selim; Bali, İlhan

doi:10.12998/wjcc.v1.i7.212

Cited by 25 publications

(29 citation statements)

References 23 publications

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“…Similarly; foreign bodies such as needles, which are put in the mouth during free-time or occupational activities, can also be ingested unintentionally. 3 In the case that presented in this study, the patient had no history of swallowing a foreign object. Ingested foreign bodies are mostly removed out of the body through the digestive system without causing any problems.…”

Section: Discussionmentioning

confidence: 86%

Ingested Foreign Bodies and Their Removal via Endoscopy from Duodenum and Colon in Patient with Situs Inversus Totalis

Bozdağ¹,

Şahin²,

Bozdağ³

et al. 2018

TJCD

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Situs inversus totalis (SİT) viseral organların normal anatomik lokalizasyonunun ayna görüntüsü olacak şekilde farklı yerleşimi olan konjenital gelişimsel bir anomalidir ve çok ender rastlanılmaktadır. Organların farklı yerleşiminden dolayı hastalıkların teşhis ve tedavisi zorlaşmaktadır. Günümüzde endoskopik yöntemlerin giderek artan bir şekilde klinikte uygulanması ile SİT olgularına da bu işlemlerin yapıldığı literatürde görülmektedir. İngilizce literatürde endoskopik işlemlerin SİT'li hastalara uygulandığı olgu sunumları bildirilmekle beraber yabancı cisim çıkarılması ile ilgili olgu bulunmamaktadır. Biz de SİT olan ve iki adet dikiş iğnesinin sindirim sisteminin farklı lokalizasyonlarında impakte olduğu hastada üst gastrointestinal endoskopi ve kolonoskopi ile tedavi ettiğimiz olguyu sunmayı amaçladık. Anahtar Kelimeler: Yabancı cisim, situs inversus totalis, endoskopi ÖZ ABSTRACTSitus inversus totalis (SIT) is a rare congenital anomaly characterized by a reversal or mirroring of the normal anatomic positions of the visceral organs. In this case, diagnosis and treatment of diseases is difficult due to the different position of the organs. With the more frequent clinical application of endoscopy methods today, there are also examples in the literature of SIT patients undergoing these procedures. Although the English literature includes case reports presenting the use of endoscopy in patients with SIT, none discuss the removal of foreign bodies in such patients. In this paper, we aim to present a case in which upper gastrointestinal endoscopy and colonoscopy were used to remove two sewing needles impacted at different locations in the digestive system of a patient with SIT.

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Section: Discussionmentioning

confidence: 86%

Ingested Foreign Bodies and Their Removal via Endoscopy from Duodenum and Colon in Patient with Situs Inversus Totalis

Bozdağ¹,

Şahin²,

Bozdağ³

et al. 2018

TJCD

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“…It is reported that 95%patients present with abdominal pain as the most important symptom, 81% patients develop fever, and 39% have local peritonitis. [7] …”

Section: Discussionmentioning

confidence: 99%

Ingested a fish bone-induced ileal perforation

Song

Yang²,

Zhu

et al. 2020

Medicine

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Introduction: Gastrointestinal perforation due to foreign body intake is rare and often secondary to unintentional intake; hence, a misdiagnosis is likely. Herein, we report a case of perforation of the ileum due to fish bone. Case presentation: A 57-year-old woman presented with right lower abdominal pain. She did not provide any information about having a history of swallowing foreign bodies. Surgery for uterine fibroids and subtotal gastrectomy was performed 6 years ago. Diagnosis: Laboratory tests and imaging examination showed normal results. During laparotomy, a fish bone was found at the end of the ileum. Two senior radiologists re-evaluated the computed tomography scan, and confirmed the presence of the suspected foreign body. Interventions: Partial intestinal resection and manual ileum end anastomosis were performed. Outcomes: The patient recovered well after surgery and recalled that she had eaten fish the night before experiencing abdominal pain. Conclusion: An accurate diagnosis of complications due to fish bone intake, often secondary to the unintentional intake, is quite challenging. Detailed history-taking about the patient's diet and eating habits is therefore important. Clinical manifestations are mainly determined by the location of perforation, which typically occurs at the junction of the ileum and rectal sigmoid colon. Imaging examination and surgery are often used for definite diagnosis.

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“…Some of these foreign objects will pass on their own; however, Seyfi et al [ 9 ] reported that 1% of complicated IFB cases required surgical operation, whereas 10–20% of bony particles (especially at the anorectal region) were removed via proctosigmoidoscopy and endoscopy.…”

Section: Discussionmentioning

confidence: 99%

Foreign Body Ingestion Causing Recurrent Diverticulitis

et al. 2017

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Patient: Male, 73Final Diagnosis: Foreign body causing recurrent diverticulitisSymptoms: Chronic abdominal painMedication: —Clinical Procedure: —Specialty: Gastroenterology and HepatologyObjective:Challenging differential diagnosisBackground:Ingested foreign bodies (IFBs) are usually asymptomatic and are excreted uneventfully. IFBs become a major concern in elderly patients due to the increase number of diverticuloses where the foreign body can lodge and cause severe complications.Case Report:We report a case of an elderly patient who ingested a chicken bone that caused recurrent diverticulitis.Conclusions:The diagnosis of complicated IFB cases is challenging, requires physician clinical expertise, and must be considered in individuals at risk.

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Ingested bone fragment in the bowel: Two cases and a review of the literature

Cited by 25 publications

References 23 publications

Ingested Foreign Bodies and Their Removal via Endoscopy from Duodenum and Colon in Patient with Situs Inversus Totalis

Ingested Foreign Bodies and Their Removal via Endoscopy from Duodenum and Colon in Patient with Situs Inversus Totalis

Ingested a fish bone-induced ileal perforation

Foreign Body Ingestion Causing Recurrent Diverticulitis

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