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Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

141
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.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
141
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

109
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:
109
Blood Supply to the Digestive System01:16

Blood Supply to the Digestive System

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Splanchnic circulation refers to the network of blood vessels that supply and drain blood from the abdominal organs involved in digestion, including the stomach, liver, pancreas, intestines, and spleen. This circulation delivers essential nutrients and oxygen while removing waste products from these organs.
Blood Supply to the Digestive System: The splanchnic circulation involves three main arteries: the celiac artery (also known as the celiac trunk) and the superior and inferior mesenteric...
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Veins of the Abdomen and Pelvis01:18

Veins of the Abdomen and Pelvis

794
The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
794
Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

223
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
223
Hepatic Portal System01:21

Hepatic Portal System

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The hepatic portal system, a critical part of our circulatory framework, transports nutrient-laden, deoxygenated blood from the gastrointestinal tract and spleen to the liver. This ingenious system plays an indispensable role in maintaining our body's metabolic equilibrium.
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
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Updated: Aug 5, 2025

Multimodality Diagnosis of Mesenteric Ischemia
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An Ingested Bone Perforating Through the Stomach into the Superior Mesenteric Vein.

Dana Nielsen1, Daniel Tuvin2

  • 1General Surgery Residency Program, University of North Dakota, Fargo, ND, USA.

The American Surgeon
|March 28, 2023
PubMed
Summary

An elderly man experienced severe abdominal pain after eating a pork chop. Imaging revealed a bone fragment penetrating his stomach and superior mesenteric vein, requiring surgical removal.

Keywords:
acute care surgeryanatomygastrointestinalgeneral surgery

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports
  • Medical Imaging

Background:

  • Foreign body ingestion can lead to severe intra-abdominal complications.
  • Penetration of gastrointestinal tract by ingested sharp objects is rare but critical.
  • Vascular involvement necessitates prompt surgical intervention.

Observation:

  • An 86-year-old male presented with acute abdominal pain.
  • Computed tomography (CT) revealed a radiopaque foreign body perforating the stomach wall and entering the superior mesenteric vein.
  • Exploratory laparotomy identified a large bone fragment lodged in the posterior stomach wall.

Findings:

  • Surgical exploration confirmed gastric perforation by a sharp foreign body, consistent with a bone fragment.
  • Anterior gastrotomy was performed for foreign body removal and gastric wall repair.
  • No significant retroperitoneal hemorrhage was observed.

Implications:

  • This case highlights the potential for ingested food fragments to cause life-threatening gastrointestinal and vascular injuries.
  • Prompt diagnosis via CT and surgical management are crucial for favorable outcomes in such rare presentations.
  • Patients with sharp foreign body ingestion require thorough history taking and imaging for accurate diagnosis and treatment planning.