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Clasp knife in the gut: a case report.
Chintamani1, Anuj Mishra, Dinesh Bhatnagar
1Department of Surgery, Vardhman Mahavir Medical College, Safdarjang Hospital, New Delhi 110029, India. chintamani7@rediffmail.com
BMC Surgery
|December 12, 2003
Summary
A unique case details the retrieval of a half-open clasp knife from the ileum after eight months. The patient survived due to an unusual entero-enteric fistula.
Area of Science:
- Gastroenterology
- Surgical Case Reports
- Medical Imaging
Background:
- Foreign body ingestion is common, but specific presentations vary.
- Complications include obstruction, perforation, and abscess formation.
- No prior reports exist of a clasp knife in the ileum with patient survival.
Observation:
- A 30-year-old male presented with a discovered clasp knife in the ileum.
- The foreign body was present for eight months following prior abdominal surgery.
- An X-ray revealed the knife during a routine follow-up.
Findings:
- Surgical retrieval of the clasp knife from the ileum was successful.
- An entero-enteric fistula was identified as the reason for the patient's survival.
- The patient recovered fully after the retrieval.
Implications:
- This case highlights the possibility of unusual foreign body survival in the gastrointestinal tract.
- It underscores the importance of thorough investigation in cases of unexplained abdominal symptoms.
- The findings contribute to the literature on rare gastrointestinal foreign bodies and surgical outcomes.