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- Title
Occurrence of multiple fistulas decades after ingestion and neglect of numerous thermometers: a case report.
- Authors
Schulte, Katrin; Wolf, Henning Wendelin
- Abstract
Background: Ingestion of thermometers is a very rare occurrence and associated with penetrations of hollow organs. An event decades ago can lead to the development of fistulas. Case presentation: We present a case of a 62-year-old male who swallowed multiple thermometers with a length of up to 22 cm over a period of 40 years. Diagnostic imaging presented a retroperitoneal abscess due to a duodenal perforation of the longest thermometer as well as multiple other thermometers stuck in the small intestine. After all thermometers were removed and the abscess drained, the patient showed a clinical deterioration. In further operations we found a duodeno-sigmoid fistula and a gastro-thoracal fistula, which were not visible in the initial operations and imaging. Conclusion: We recommend an active search for fistulas especially in the case of long-foregone ingestion.
- Subjects
THERMOMETERS; INGESTION; FISTULA; CLINICAL deterioration; SMALL intestine; DIVERTICULITIS
- Publication
Surgical Case Reports, 2024, Vol 10, Issue 1, p1
- ISSN
2198-7793
- Publication type
Case Study
- DOI
10.1186/s40792-023-01801-w