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Related Experiment Videos

Intestinal perforation by foreign bodies.

A Pinero Madrona1, J A Fernández Hernández, M Carrasco Prats

  • 1Department of General Surgery, Virgen de la Arrixaca University Hospital, El Palmar, Murcia, Spain.

The European Journal of Surgery = Acta Chirurgica
|May 19, 2000
PubMed
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Foreign body ingestion can cause intestinal perforation, most commonly in the ileocecal and rectosigmoid areas. Preoperative pneumoperitoneum is rare, and diagnosis often occurs during surgery.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Abdominal Surgery

Background:

  • Intestinal perforation due to foreign bodies is a rare clinical occurrence.
  • Understanding the epidemiology and clinical presentation is crucial for timely diagnosis and management.

Purpose of the Study:

  • To review the hospital's experience with patients presenting with intestinal perforation caused by foreign bodies.
  • To analyze the characteristics, diagnosis, and treatment outcomes of these cases.

Main Methods:

  • Retrospective study conducted at a university hospital in Spain.
  • Inclusion of 21 patients diagnosed with intestinal perforation by foreign bodies between 1980 and 1998.
  • Data collected included perforation size, foreign body type, symptoms, radiological findings, treatment, and outcomes.

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Main Results:

  • The terminal ileum (11 cases) and rectosigmoid junction (5 cases) were the most frequent sites of perforation.
  • Common foreign bodies included bone fragments and toothpicks.
  • Diagnosis was typically established intraoperatively, with only 4 patients showing preoperative pneumoperitoneum. Simple suture repair was the most common treatment.

Conclusions:

  • Intestinal perforation by foreign bodies is uncommon, predominantly affecting the ileocecal and rectosigmoid regions.
  • Preoperative pneumoperitoneum is an infrequent finding in these cases.
  • Consideration in the differential diagnosis of acute appendicitis and diverticulitis is recommended.