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Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Inflammatory Bowel Disease V: Surgical Management01:21

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

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Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
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[Case report: intestinal perforation by foreign body].

Karol A Martínez Portilla1,2, Cecilia Zubiri3, Norma Balcarce3

  • 1Hospital de Niños "Sor María Ludovica", La Plata, Buenos Aires, Argentina. karolandrea1310@yahoo.com.

Archivos Argentinos De Pediatria
|January 19, 2017
PubMed
Summary
This summary is machine-generated.

Accidental ingestion of foreign bodies is common in children but rarely needs surgery. A 10-month-old infant required surgery for a duodenal perforation caused by an ingested screw.

Keywords:
childhoodforeign bodiesintestinal perforation

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Area of Science:

  • Pediatric surgery
  • Gastroenterology
  • Radiology

Background:

  • Foreign body ingestion is a frequent pediatric emergency.
  • Most ingested foreign bodies pass spontaneously without complications.
  • Surgical intervention for ingested foreign bodies is rare.

Observation:

  • A 10-month-old infant presented with an incidentally discovered 7 cm radiopaque foreign body, consistent with a screw, in the abdomen.
  • The foreign body was located in the abdominal cavity.
  • Endoscopic extraction was unsuccessful.

Findings:

  • Surgical exploration revealed a perforation in the second and third portions of the duodenum.
  • The ingested screw caused significant gastrointestinal trauma requiring surgical management.
  • The infant had no overt abdominal symptoms prior to incidental discovery.

Implications:

  • This case highlights a rare but serious complication of foreign body ingestion in infants.
  • It underscores the importance of prompt diagnosis and management of radiopaque foreign bodies in the pediatric population.
  • Surgical intervention may be necessary when endoscopic removal fails or complications arise.