Duodenal Perforation Nine Months after Accidental Foreign Body Ingestion

Chi L, Encarnacion DD and Yong CC

Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan

^*Correspondance to: Yong CC 

 PDF  Full Text DOI: 10.25107/2474-1647.2239

Abstract

Foreign body ingestion is a scenario occasionally encountered in the emergency room. Pediatric and psychiatric patients are the two most common populations suffering from accidental or in some cases intentional ingestion of foreign bodies. Commonly, majority of cases require no specific treatment and the swallowed objects pass through the digestive tract spontaneously without causing any significant complications. Less than 1% of the cases complicates with gastrointestinal tract perforation, which are often caused by sharp objects, which warrants surgical intervention. The average time from foreign body ingestion to development of perforation was noted at 10.4 days in previous reports. These cases often present in rapidly progressing peritonitis and are subsequently managed by emergent laparotomy. In this case report, we describe an accidental chopstick ingestion of a patient who initially was asymptomatic for nine months then presented with acute abdomen and was subsequently treated with emergency laparotomy with primary duodenorrhaphy.

Keywords

Foreign body; Duodenum; Perforation

Cite the article

Chi L, Encarnacion DD, Yong CC. Duodenal Perforation Nine Months after Accidental Foreign Body Ingestion. Clin Surg. 2018; 3: 2239.