Ascending colon perforation by ingested fruit stones

Ingested foreign bodies present problems due to the related complications, perforation being the most frequent. This is a descriptive study of two cases of ascending colon perforation by numerous ingested fruit stones. The main symptoms were abdominal pain with tenderness in the lower right quadrant...

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Bibliographic Details
Published inChirurgia (Bucharest, Romania : 1990) Vol. 106; no. 6; pp. 825 - 827
Main Authors Puia, I C, Puia, V R, Andreescu, A, Cristea, P G
Format Journal Article
LanguageRomanian
Published Romania 01.11.2011
Subjects
Abdominal Pain - etiology
Adult
Aged
Colectomy
Colon, Ascending - surgery
Digestive System Surgical Procedures
Eating
Female
Foreign-Body Reaction - complications
Fruit
Humans
Intestinal Perforation - etiology
Intestinal Perforation - surgery
Male
Risk Factors
Seeds
Treatment Outcome
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Summary:Ingested foreign bodies present problems due to the related complications, perforation being the most frequent. This is a descriptive study of two cases of ascending colon perforation by numerous ingested fruit stones. The main symptoms were abdominal pain with tenderness in the lower right quadrant. In both cases the diagnosis was made at operation, with right hemicolectomy and termino-lateral ileo-colic anastomosis. Post-operative outcome was uneventful with the exception of a wound infection. The possible mechanism of the delayed perforation is discussed. Diagnosis and treatment modality alternatives in foreign body ingestion and the literature data are reviewed. Delayed perforations by ingested fruit stones can be difficult to diagnose preoperatively but if operated in due time are curable by resection of the affected bowel.
Bibliography:ObjectType-Article-2
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ISSN:1221-9118