Management of duodeneal perforation due to toothpick ingestion
Ingestion of foreign body is one of the major cause of serious morbidity and mortality in gastrointestinal system . A 47-year-old male patient attended to the emergency department complaining of abdominal pain for about two days duration. On physical examination of the patient, tenderness was observ...
Saved in:
Published in | Kırşehir Ahi Evran medical journal Vol. 7; no. 3; pp. 391 - 394 |
---|---|
Main Authors | , |
Format | Journal Article |
Language | English |
Published |
Kirsehir Ahi Evran University
01.12.2023
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | Ingestion of foreign body is one of the major cause of serious morbidity and mortality in gastrointestinal system . A 47-year-old male patient attended to the emergency department complaining of abdominal pain for about two days duration. On physical examination of the patient, tenderness was observed in right flank region. Computed tomography examination revealed a foreign body that had impacted the third part of the duodenum and perforated and extended to the retroperitoneal structures..
Afterwards, semi-elective laparotomy was decided and the foreign body was removed under bleeding control. The perforated area in the 3rd part of the duedonum was primarily repaired and omentopexy was performed. The patient was discharged on the 6th day without any problem in the postoperative follow-up.
Gastrointestinal foreign body ingestion treatment approach should be determined according to the characteristic of the object, its proximity to the anatomical structures and the clinic..
Yabancı cisim yutulması gastrointestinal sistemde ciddi morbidite ve mortalitenin en önemli nedenlerinden biridir. 47 yaşında erkek hasta yaklaşık iki gündür karın ağrısı şikayeti ile acil servise başvurdu. Hastanın fizik muayenesinde sağ yan bölgede hassasiyet izlendi. Bilgisayarlı tomografi incelemesinde duodenumun üçüncü bölümünü etkileyen, perfore ve retroperitoneal yapılara uzanan yabancı bir cisim saptandı.
Daha sonra yarı elektif laparotomiye karar verildi ve kanama kontrolü altında yabancı cisim çıkarıldı. Duedonum 3. kısımdaki perfore alan primer olarak onarıldı ve omentopeksi yapıldı. Postoperatif izleminde hasta 6. günde sorunsuz taburcu edildi.
Gastrointestinal yabancı cisim yutulması tedavi yaklaşımı cismin özelliğine, anatomik yapılara ve kliniğe yakınlığına göre belirlenmelidir. |
---|---|
ISSN: | 2619-9203 2619-9203 |
DOI: | 10.46332/aemj.1117886 |