Espinosa ÁA, García CG, Suárez MR

Language: Spanish
References: 10
Page: 158-160
PDF size: 65.20 Kb.

ABSTRACT

Introduction: The ingestion of foreign bodies accidentally or deliberately, is more common than we think, for what may be the cause of obstruction and/or perforation in any part of the gut. It is considered that intestinal perforation occurs in approximately 1% of cases, since most foreign bodies (80-90%) are able to pass through the entire gastrointestinal tract spontaneously. Case report: Male 30 years, no previous medical history. Subjected to makes aprox hernioplasty. 4 months with abdominal pain, stinging, predominantly in right lower quadrant radiating to the lumbar and ipsilateral leg. And a half months after the plasty, the patient has clinical symptoms of acute appendicitis as open appendectomy was performed. The findings were free purulent fluid cavity appendix hyperemic retrocecal with fibrinopurulent exudate, and presence in the mesentery of foreign objects (wire) of approx. 3 cm long. Discussion: The success in preventing the complications that occur from ingestion of foreign bodies, wich are primarily the obstruction and intestinal perforation, should be based on a high index of suspicion for this situation at any age. Treatment aims to correct or avoid these complications, so its management must be multidisciplinary collaboration of gastroenterologists, radiologists and surgeons.

REFERENCES

1. Rojas E. Manual de Urgencias en Medicina Interna. Asociación Colombiana de Medicina Interna. Ediciones Acta Médica Colombiana 2007: 8.

2. Maluenda CC, Varea CV, Bodas PA. Ingesta de cuerpos extraños, protocolos diagnóstico-terapéuticos de Gastroenterología, Hepatología y Nutrición Pediátrica SEGHNP-AEP. 2ª edición, Ergón S.A. 2010.

3. Candia RRF, Pérez A, Palacios JM, Candia R. Perforación de apéndice cecal por un cuerpo extraño en niña. Reporte de un caso. Rev Sanid Milit Mex 2008; 62(2): 102-105.

4. Toríz A, Rodea H, Athié C, Guizar C, Malo A, Yumbé E, Corral A. Perforación intestinal por pica. Rev Med Hosp Gen Mex 1999; 62(3): 198-201.

5. Karamarkovic AR, Djuranovic SP, Popovic NP, Bumbasirevic VD et al. Hepatic absceso secondary to a rosemary twig migrating from the stomach into the liver. World J Gastroenterol 2007; 13(41): 5530-5532.

6. Santos S, Alberto S, Cruz E, Figueira T et al. Hepatic abscess induced by foreign body: Case report and literature review. World J Gastroenterol 2007; 13(9): 1466-1470.

7. Chintamani, Singhal V, Lubhana P, Durkhere R, Bhandari S. Liver abscess secondary to a broken needle migration. A case report. BMC Surg 2003; 3:8.

8. Kanazawa S, Ishigaki K, Miyake T, Ishida A, Tabuchi A, Tanemoto K, Tsunoda T. A granulomatous liver abscess which developed after a toothpick penetrated the gastrointestinal tract: report of a case. Surg Today 2003; 33(4): 312-314.

9. Bilimoria KY, Eagan RK, Rex DK. Colonoscopic identification of a foreign body causing an hepatic abscess [liver, pancreas, and biliary tract: Case Reports]. Journal of Clinical Gastroenterology 2003; 37(1): 82-85.

10. Basilio A, Váldez P, Rosales A, Estrada J, Santillán I, Vázquez L. Cuerpos extraños en tubo digestivo asociado a fístula gastrocutánea. Reporte de un caso. Trauma 9(2): 57-61.