Problems of diagnosis and treatment caused by ingested foreign bodies

• Published in: Chirurgia (Bucharest, Romania : 1990) Vol. 108; no. 3; pp. 400 - 406
• Main Authors: Mesina, C, Vasile, I, Valcea, D I, Pasalega, M, Calota, F, Paranescu, H, Dumitrescu, T, Mirea, C, Mogoanta, S
• Format: Journal Article
• Language: English
• Published: Romania 01.05.2013
• Subjects: Abdomen, Acute - diagnosis; Abdomen, Acute - etiology; Abdomen, Acute - surgery; Abscess - diagnosis; Abscess - etiology; Abscess - surgery; Adult; Anus Diseases - diagnosis; Anus Diseases - etiology; Anus Diseases - surgery; Colon, Sigmoid; Diagnosis, Differential; Drainage; Eating; Female; Foreign-Body Migration - complications; Foreign-Body Migration - diagnosis; Foreign-Body Migration - surgery; Humans; Ileum; Intestinal Perforation - diagnosis; Intestinal Perforation - etiology; Intestinal Perforation - surgery; Male; Middle Aged; Treatment Outcome
• ISSN: 1221-9118

An ingested foreign body often passes the gastrointestinal tract without any complications. Foreign bodies, such as fish bones, chicken bones and toothpicks, have been known to cause perforation of the gastrointestinal tract. We present 4 cases: the first 2 of a 27-year-old male and a 48-years-old female respectively, with acute abdomen, diffuse purulent peritonitis, with ileum perforation, both caused by accidentally ingesting a wire, 1 case of a 64-year-old male with sigmoid perforation, caused by accidentally ingesting a toothpick and 1 case of a 52-year-old female presented with left buttock painful swelling for 1 week associated with fever,physical examination revealed an ischiorectal abscess.During incision and drainage a 3 cm chicken bone was found inside the abscess cavity. Evolution was favorable in all 4 cases.