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…
Abstract | 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. |
---|---|
AbstractList | The ingestion of foreign bodies is one of the leading causes of severe morbidity and mortality in the gastrointestinal tract. A male patient, 47 years old, presented to the emergency department with two days of abdominal pain. The patient's physical examination revealed no indications of peritoneal irritation; only tenderness in the right upper quadran and flank was observed. A computed tomography examination revealed a foreign body that had perforated the third portion of the duodenum and extended into the retroperitoneal structures. A semi-elective laparotomy had been determined to remove the foreign object from the patient whose abdominal examination was normal and whose vital signs were stable. The third perforated region of the duedonum was repaired and omentopexy was performed. Six days after surgery, the patient was successfully discharged . 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. |
Author | AY, Oğuzhan Fatih ARICI, Sinan |
Author_xml | – sequence: 1 givenname: Oğuzhan Fatih surname: AY fullname: AY, Oğuzhan Fatih – sequence: 2 givenname: Sinan surname: ARICI fullname: ARICI, Sinan |
BookMark | eNpNkEtLAzEUhYNUsNYu3c8fmJrcZPLYCFJ8FCpudB3yuKlT20nJjAv_vX0hwoVzOQe-xXdNRl3ukJBbRmdCcg53DrfrGWNMaS0vyBgkM7UBykf__isy7fs1pRS04pyqMbl_dZ1b4Ra7ocqpit85YoduU-2wpFzc0OZu32I15P3l4XPXhq-q7VbYH6YbcpncpsfpOSfk4-nxff5SL9-eF_OHZR2Y4LIWrHEqeRUcgNEQVAAZMDJvtIxGNZACbRpuaOImKOOECF6KIJjxLGoQfEIWJ27Mbm13pd268mOza-2xyGVlXRnasEHrvccmgk8NZ8Jz8IJpo1HqBMbHCHtWfWKFkvu-YPrjMWqPLu3BpT275L_-W2jx |
Cites_doi | 10.1186/s12876-020-01335-7 10.1097/PEC.0b013e3181e5bf85 10.1016/j.jemermed.2006.11.014 10.3748/wjg.v19.i38.6447 10.1186/s12876-020-01475-w 10.1159/000454709 |
ContentType | Journal Article |
DBID | AAYXX CITATION DOA |
DOI | 10.46332/aemj.1117886 |
DatabaseName | CrossRef DOAJ Directory of Open Access Journals |
DatabaseTitle | CrossRef |
DatabaseTitleList | CrossRef |
Database_xml | – sequence: 1 dbid: DOA name: Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 2619-9203 |
EndPage | 394 |
ExternalDocumentID | oai_doaj_org_article_bbbe5d2bf5314b32b41898e68f29bdd2 10_46332_aemj_1117886 |
GroupedDBID | AAYXX ALMA_UNASSIGNED_HOLDINGS CITATION EIHBH EN8 GROUPED_DOAJ OK1 |
ID | FETCH-LOGICAL-c1436-415a7fb7ca22982c7c26ced1b986d9752fc055390f39c79a44cb64c419b1d8243 |
IEDL.DBID | DOA |
ISSN | 2619-9203 |
IngestDate | Tue Oct 22 15:13:26 EDT 2024 Fri Aug 23 02:02:40 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 3 |
Language | English |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c1436-415a7fb7ca22982c7c26ced1b986d9752fc055390f39c79a44cb64c419b1d8243 |
ORCID | 0000-0002-7986-3874 0000-0002-0726-3968 |
OpenAccessLink | https://doaj.org/article/bbbe5d2bf5314b32b41898e68f29bdd2 |
PageCount | 4 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_bbbe5d2bf5314b32b41898e68f29bdd2 crossref_primary_10_46332_aemj_1117886 |
PublicationCentury | 2000 |
PublicationDate | 2023-12-01 |
PublicationDateYYYYMMDD | 2023-12-01 |
PublicationDate_xml | – month: 12 year: 2023 text: 2023-12-01 day: 01 |
PublicationDecade | 2020 |
PublicationTitle | Kırşehir Ahi Evran medical journal |
PublicationYear | 2023 |
Publisher | Kirsehir Ahi Evran University |
Publisher_xml | – name: Kirsehir Ahi Evran University |
References | ref7 ref4 ref3 ref6 ref5 ref2 ref1 |
References_xml | – ident: ref4 doi: 10.1186/s12876-020-01335-7 – ident: ref6 doi: 10.1097/PEC.0b013e3181e5bf85 – ident: ref3 – ident: ref7 doi: 10.1016/j.jemermed.2006.11.014 – ident: ref1 doi: 10.3748/wjg.v19.i38.6447 – ident: ref2 doi: 10.1186/s12876-020-01475-w – ident: ref5 doi: 10.1159/000454709 |
SSID | ssj0002873307 |
Score | 2.2937477 |
Snippet | 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... The ingestion of foreign bodies is one of the leading causes of severe morbidity and mortality in the gastrointestinal tract. A male patient, 47 years old,... |
SourceID | doaj crossref |
SourceType | Open Website Aggregation Database |
StartPage | 391 |
SubjectTerms | duodeneal perforation foreign body ingestion toothpick |
Title | Management of duodeneal perforation due to toothpick ingestion |
URI | https://doaj.org/article/bbbe5d2bf5314b32b41898e68f29bdd2 |
Volume | 7 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1LS8NAEF6kB_EiPrG-2IN4C032vRfBV6lCxUMLvYV9ghWTUtr_72wStZ68eN0sIXyzmZlvd_YbhK5CCNYUQHKUdzFjyvtMhSJmgppcRg9RRafLyeMXMZqy5xmfbbT6SjVhrTxwC9zAWhu4JzbCYmGWEssKpVUQKhJtvW-9b8E3yNS82TKSQNRlK6rJBKVkYMLHPDkI4HziVxDa0OpvgspwD-122SC-bb9iH22F6gBtj7vz7kN081OdguuIH9Y1uAlI7fBrU5XeoAqjAa9qPKkB9MWbe8dPVTo0gkdHaDp8nNyPsq7jQeYgbxEZRFMjo5XOEKIVcdIR4YIvrFbCa8lJdDnnVOeRaie1YcxZwRwrtC28Ioweo15VV-EE4SSEFrhxPLLAgNYYRZWBPzC1QOB54H10_QVBuWiFLUogBA1WZcKq7LDqo7sE0PekpEfdDICVys5K5V9WOv2Pl5yhndTsvS0mOUe91XIdLiAlWNnLxvqfhZ-0mw |
link.rule.ids | 315,786,790,870,2115,27955,27956 |
linkProvider | Directory of Open Access Journals |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Management+of+Duodeneal+Perforation+Due+to+Toothpick+Ingestion&rft.jtitle=K%C4%B1r%C5%9Fehir+Ahi+Evran+medical+journal&rft.au=O%C4%9Fuzhan+Fatih+AY&rft.au=Sinan+ARICI&rft.date=2023-12-01&rft.pub=Kirsehir+Ahi+Evran+University&rft.eissn=2619-9203&rft.volume=7&rft.issue=3&rft.spage=391&rft.epage=394&rft_id=info:doi/10.46332%2Faemj.1117886&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_bbbe5d2bf5314b32b41898e68f29bdd2 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2619-9203&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2619-9203&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2619-9203&client=summon |