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Intestinal perforation--a unique cause.

G Kansal1, V Agrawal

  • 1Department of Surgery, UCMS and GTB Hospital, Delhi.

Journal of the Indian Medical Association
|October 4, 2000
PubMed
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A 65-year-old male experienced terminal ileum perforation due to a sharp blister pack edge. Surgical repair was successful, despite a complicated postoperative recovery, highlighting a rare cause of intestinal perforation.

Area of Science:

  • Gastroenterology
  • Surgical Case Report
  • Abdominal Surgery

Background:

  • Intestinal perforation is a critical surgical emergency.
  • Foreign body ingestion is an uncommon cause of gastrointestinal perforation.
  • Blister pack ingestion leading to perforation is exceptionally rare.

Observation:

  • A 65-year-old male presented with symptoms of peritonitis.
  • Exploratory laparotomy identified a perforation in the terminal ileum.
  • A sharp metallic object, identified as a blister pack edge, was found at the perforation site.

Findings:

  • The sharp edge of a blister pack, containing an intact tablet, caused a perforation in the terminal ileum.
  • Surgical repair of the ileal perforation was performed.

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  • The patient experienced a prolonged postoperative recovery but ultimately improved with management.

    • Implications:

    • This case underscores the potential for seemingly innocuous objects like blister packs to cause severe gastrointestinal injury.
    • Awareness of rare foreign body ingestions is crucial for accurate diagnosis and timely surgical intervention.
    • Management of iatrogenic or accidental foreign body-induced perforations requires prompt surgical repair and supportive care.