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Published on: September 11, 2018
Distal ileal perforation secondary to ingested foreign bodies
Yusuf Yagmur1, Hayrettin Ozturk, Hulya Ozturk
1Department of General Surgery, Dicle University, Medical School, Diyarbakir, Turkey.
A young man ingested multiple foreign bodies, leading to bowel perforation. Surgical removal was necessary due to severe abdominal distress and obstruction, highlighting risks of ingested items.
Area of Science:
- Gastroenterology
- Surgical Case Report
- Medical Imaging
Background:
- Foreign body ingestion is a common cause of gastrointestinal emergencies.
- Certain foreign bodies, like batteries, pose a significant risk of corrosive injury.
- Prompt diagnosis and intervention are crucial for managing complications.
Observation:
- A 22-year-old male presented with acute abdominal pain, nausea, and distention.
- Clinical examination revealed signs of increasing distress and lack of foreign body passage.
- Imaging studies confirmed the presence of multiple ingested foreign bodies.
Findings:
- Laparotomy revealed a perforated distal ileum.
- Multiple foreign bodies were surgically removed, including plastic clothes pegs, a pencil, stones, a wood nail, nail scissors, and a battery.
- The patient experienced complications including bowel obstruction and perforation.
Implications:
- Foreign body ingestion, particularly in patients with mental health conditions, requires vigilant monitoring.
- The presence of batteries necessitates urgent evaluation due to corrosive injury potential.
- Early surgical intervention is vital to prevent life-threatening complications such as perforation and sepsis.
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