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Laparoscopic assisted foreign body extraction from the small bowel: A case report.
Bourguiba Mohamed Aboulkacem1, Montassar Ghalleb1, Alaeddine Khemir1
1General Surgery Department A, Charles Nicolle Hospital, Tunisia.
Laparoscopic surgery can be a feasible option for extracting foreign bodies from the small bowel, offering reduced scarring and faster recovery. Further research is needed to establish it as a standard treatment.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Emergency Medicine
Background:
- Foreign body ingestion is a common emergency, rarely requiring surgery.
- Exploratory laparotomy was the traditional surgical approach.
- Laparoscopy is increasingly considered for emergency surgical interventions.
Purpose of the Study:
- To demonstrate the feasibility of laparoscopic-assisted extraction of a small bowel foreign body.
- To highlight potential benefits such as smaller scars, reduced morbidity, and faster recovery.
Main Methods:
- A case report of a 30-year-old male with small bowel obstruction due to ingested plastic bottle.
- Initial conservative management failed, leading to surgical intervention.
- Laparoscopic-assisted foreign body extraction was performed.
Main Results:
- The patient experienced bowel function recovery the day after surgery.
- A superficial parietal abscess developed on day three, treated medically.
- The patient was discharged on day ten with no late complications at 14 months.
Conclusions:
- Laparoscopic-assisted extraction is a viable option for small bowel foreign bodies in selected cases.
- Larger randomized controlled trials are necessary to confirm its role as a standard of care.
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