Intentional Ingestion of a Metallic Wire Causing Perforation and Retroperitoneal Abscess: A Case Report

Abstract

Foreign body ingestion is a frequent condition, with the majority of foreign bodies (FBs) tending to spontaneously proceed along the gastrointestinal tract without any major complications. A wide range of procedures are available to remove FBs; however, a real challenge exists in managing sharp, rigid, and long foreign objects, which are related to higher rates of complications. A 34-year-old man who intentionally swallowed a metallic wire of 20 cm length, presented to our ED with abdominal pain 2 weeks after the ingestion. The FB had migrated to the stomach and duodenum. Complications included perforation of the duodenum and ascending colon and a retroperitoneal abscess. FB removal was done via laparotomy, followed by the repair of perforations and damaged tissues. This case highlights the complications of a FB presence in the gastrointestinal tract for 14 days and emphasizes the importance of urgent and appropriate management of such conditions.

Foreign body ingestion: Is intervention always a necessity?

“…Given the fact that elderly patients might experience a form of esophageal dysmotility, their chances to expel ingested objects spontaneously are much lower compared to the general population [ 1 ]. Along the passage course, impacted objects might end up with a wide spectrum of complications, manifesting in a form of abscess (retropharyngeal, hepatic or retroperitoneal), esophageal or intestinal perforation, bowel obstruction, hemorrhage and even death [ 4 , 9 ]. Impaction of swallowed items might occur near areas of anatomical narrowing such as the lower esophageal sphincter, pylorus, ileocecal valve and, in rare instances, the appendiceal lumen [ 10 ].…”

Dietary supplementation of pomegranate extract alters the Caspase-3 and VEGF promoter epigenetic methylation status and protein levels in breast cancer patients undergoing chemotherapy

“…Deregulation of epigenetic homeostasis can result in altered gene expression and malignant cellular transformation. Global alteration in the epigenetic map is a distinguished feature of cancer (Maleknia et al, 2023). The administration of epi-drugs, either in standalone or in conjunction with immunotherapy or chemotherapy, has demonstrated strikingly favourable outcomes, such as the onset of anti-cancer implications, the reversal of drug resistance, and the improvement of the host's immune system (Lu et al, 2020;Mahmoud et al, 2021).…”

A rare case of abdominal foreign bodies; laparoscopic removal of a sewing needle

“…Furthermore, in the management of the FBs, some need an operative intervention due to complications or failure of other options [ 2 ]. FBs passing the GI tract may cause serious complications such as bowel obstruction, aspiration, hemorrhage, perforation, fistulization, abscess formation, septicemia, and death [ 2 , 5 ]. Here, we report a case of intentional ingestion of two sewing needles (2 months before admission) in a 26-year-old woman brought to the hospital with abdominal pain.…”