Small bowel perforation from foreign body ingestion

Ho, Joyce; Jameson, Carolyn

doi:10.1111/ans.14715

ANZ Journal of Surgery

2018

DOI: 10.1111/ans.14715

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Small bowel perforation from foreign body ingestion

Joyce Ho

Carolyn Jameson

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Cited by 4 publications

(2 citation statements)

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“…A recent report in this journal showed a case of intestinal perforation by a fish bone. 1 Although most of the times, an ingested fish bones normally passes through the intestinal tract without any problem, a pre-existing condition in the intestine may become a catalyst for the perforation. An example is a case of intestinal lymphoma whose initial presentation was with perforation.…”

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confidence: 99%

“…3 When we are dealing with intestinal perforation by a fish bone or any other foreign body, we need to be aware of the possibility of an elephant in the room in the form of an intestinal pathology. We read the article by Bong et al 1 on the radiological images of a pregnant woman with sigmoid volvulus (SV). SV during pregnancy is very rare and about 100 cases were reported to date.…”

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confidence: 99%

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Intestinal lymphoma perforation caused by a fish bone

Jaboury¹

2020

ANZ Journal of Surgery

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mentioning

confidence: 99%

mentioning

confidence: 99%

Intestinal lymphoma perforation caused by a fish bone

Jaboury¹

2020

ANZ Journal of Surgery

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Unknown ingestion of dentures – Review and description of a case report

Salvador¹,

Pratas²,

Capote³

2022

International Journal of Surgery Open

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Background: Foreign-body ingestion is a common occurrence in the Emergency Department (ED) and numerous types of objects have been implicated. Most of the foreign bodies pass through the GI system without any lesion but there's always a risk of impaction and perforation requiring surgery. The aim of the article and clinical case described is to provide a brief review of the diagnosis and management of foreign body ingestion. With this case report, the author raises awareness to the fact that the diagnostic is often elusive since even mentally capable patients might not notice or refer about ingestion of foreign bodies, especially dentures. Case presentation: 52-year-old female patient who presents to the ER with sudden onset of generalized abdominal pain localizing to the right lower quadrant with no history of foreign body ingestion. Clinically with signs of peritonism localised to the RLQ. Diagnosis of impaction by a foreign body ingestion was made with CT scan and clearly identified with 3D reconstruction of the CT scan. Proposed for urgent laparoscopy to remove FB and prevent perforation. However, minimal access surgery was unfeasible and even the laparotomy was difficulted by previous abdominal wall repair. Even so, the FB was retrieved after enterotomy and both the surgery and post op period recovery were uneventful. Discussion: The clinical presentation of an impacted/perforated foreign body in the bowel is not always straightforward, often simulating other acute abdominal urgencies such as appendicitis and diverticulitis. The most valuable method to locate the FB's and diagnose complications is the CT scan. The mainstay of management is the surgical removal of the foreign body in the bowel through minimal access surgery (laparoscopy) or laparotomy, if necessary. Conclusion: Even though foreign body ingestion is a very common phenomenon, most of the time is harmless and no medical care is necessary. However, when it does occur, the diagnosis of a related complication may be elusive when no suspicion is brought on by clinical history. When presented with a patient with unexplained abdominal pain, the ingestion of foreign object should be present in the differential diagnosis. Minimal Invasive surgical treatment is first option, but laparotomy might prove to be necessary. Highlights

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Re: Small bowel perforation from foreign body ingestion

Yagnik¹,

Yagnik²

2020

ANZ Journal of Surgery

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Small bowel perforation from foreign body ingestion

Cited by 4 publications

References 6 publications

Intestinal lymphoma perforation caused by a fish bone

Intestinal lymphoma perforation caused by a fish bone

Unknown ingestion of dentures – Review and description of a case report

Re: Small bowel perforation from foreign body ingestion

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