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[Small Bowel Perforation Caused by Press-through Package].
Jung Seok Kim1, Jae Myung Cha1, Min Seob Kwak1
1Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.
Elderly patients are at risk of press-through package (PTP) tablet complications. A rare case shows PTP ingestion caused small bowel perforation and fistula formation, highlighting the need for careful PTP use.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Increased use of press-through package (PTP) tablets has led to more mis-swallowing incidents, particularly in the elderly.
- PTP ingestion can result in serious gastrointestinal complications.
Observation:
- A healthy 62-year-old male presented with persistent abdominal pain.
- Abdominal CT revealed a radiopaque foreign body in the small intestine.
- Laparoscopic surgery identified a PTP fragment causing perforation and fistula formation.
Findings:
- The foreign body was confirmed as a press-through package (PTP) tablet fragment.
- The PTP fragment caused significant edema, perforation, and adhesions in the distal small intestine.
- The patient was successfully treated with laparoscopic small bowel resection.
Implications:
- This case highlights a rare but severe complication of inadvertent PTP ingestion.
- Increased awareness and precautions are needed to prevent PTP-related injuries, especially in elderly patients.
- Safe handling and administration of PTP medications are crucial to avoid iatrogenic injury.
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