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Updated: Jun 10, 2026
03:42
Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
Published on: March 15, 2024
A 40 year old man with acute abdomen
T Ahmed1, M M Hussain, S Al-Azad
1Surgery unit-I, Dhaka Medical College & Hospital, Dhaka, Bangladesh.
Mymensingh Medical Journal : MMJ
|July 20, 2010
Summary
A 40-year-old man presented with abdominal pain and rectal bleeding. Surgeons successfully removed two glass bottles from his sigmoid colon, resolving the obstruction.
Area of Science:
- Gastroenterology
- Surgical Case Reports
- Abdominal Surgery
Background:
- Intra-abdominal foreign body ingestion is rare.
- Patients may present with non-specific abdominal symptoms, delaying diagnosis.
Observation:
- A 40-year-old male reported acute abdominal pain, rectal bleeding, and distension.
- Physical examination revealed a tender intra-abdominal mass; imaging showed intestinal distension and radiopaque foreign bodies.
- Due to patient restlessness, ultrasonography was not performed.
Findings:
- Surgical exploration of the sigmoid colon revealed two ingested glass bottles.
- The bottles, measuring 10x5 cm and 12x7 cm, were successfully removed.
- A 2 cm stone was also found in the peritoneal cavity and sent for histopathology.
Implications:
- This case highlights the importance of considering unusual foreign body ingestion in cases of acute abdomen.
- Prompt surgical intervention is crucial for managing intestinal obstruction caused by foreign bodies.
- Successful removal of large foreign bodies can lead to an uneventful recovery.
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