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- Title
Small Bowel Perforation due to Fish Bone Intake: A Case Report.
- Authors
Sangmyung Yeo; Jaekwang Lee; Hyunsoo Kim; Jaekwon Jung; Hanjun Ryu; Daejin Kim; Changkeun Park; Yunjin Chung; Jihun Jang; Yongseok Lee
- Abstract
Background/Aims Small bowel perforation due to foreign body ingestion is a rare case. Ingested foreign matter is usually released naturally without any problem. However, ingested foreign body can cause serious complications with a very low possibility. Intestinal perforation is the most common complication of foreign body intake. In this paper, we discuss a rare case of perforation in the distal part of the jejunum as a result of swallowing a foreign body in an elderly patient without gastrointestinal disease or previous history of surgery. Methods An 80 year-old women visited our center for abdominal pain. She has no previous history of intestinal problems. The initial vital signs were stable. Physical examination revealed tenderness at the lower abdomen. Laboratory results were as follow: white blood cell 12,310/mm3, hemoglobin 10.4 g/dL, platelet 201,000/mm3, neutrophil count 9,601.8/mm3, creatinine 1.53 mg/dL and C-reactive protein 11.12 mg/dL. On computed tomography, hyperdense linear lesions of about 1.6 cm were seen in the middle small bowel loop of the left lower quadrant, and inflammatory changes were observed around the bowel wall (Fig. 1). Laparoscopic examination revealed a small, sharp fishbone penetrating the small intestinal wall in the distal jejunum, and the lesion was removed by surgery. The patient was discharged 8 days after surgery without any complications. Conclusions The patient experienced bowel perforation at the distal-portion of the jejunum, despite normal bowel physiology with no history of intestinal disease or intraabdominal surgery. Our case shows that intestinal perforation due to foreign body intake should be considered in the differential diagnosis of acute abdominal pain. Appropriate history taking and imaging techniques will help the doctor make the correct diagnosis. Surgery is the best way to identify and treat intestinal perforation caused by the ingestion of foreign bodies.
- Subjects
FOREIGN bodies; INTESTINAL perforation; LEUCOCYTES; INTESTINAL diseases; GASTROINTESTINAL diseases; C-reactive protein; ABDOMINAL pain
- Publication
Gut & Liver, 2019, Vol 13, Issue 6(suppl. 1), p181
- ISSN
1976-2283
- Publication type
Article