Kasper, Philipp, Kuetting, Fabian, Schloesser, Hans Anton, Moenig, Stefan Paul, Goeser, Tobias and Jaspers, Natalie (2018). Foreign-Body Ingestion: A Rare Cause of Abdominal Pain. Dtsch. Med. Wochenschr., 143 (1). S. 36 - 40. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4413

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Abstract

History and findings upon admission A 50-year-old man presented at the emergency unit with abdominal pain in the right lower quadrant and dysuria. He described an increase in pain during micturition. Examinations After multiple examinations (CT-scan, MR-scan, ileocolonoscopy) were performed to no avail, a toothpick was detected in the terminal ileum during an ultrasound scan of the small intestine. Prompted elevation of intra-abdominal pressure led to migration of the radiolucent sharp foreign body into the wall of the urinary bladder, inducing pain. Treatment Median laparotomy revealed a two-sided perforation of the terminal ileumwith ileosigmoidal fistula, which was induced by an ingested toothpick. The patient underwent en-bloc resection of the infectious tumor by segmental ileal resection and sigma resection. Anastomoses were performed as hand-sewn end-to-end ileoileostomy and end-to-end stapled colorectal anastomosis, respectively. Conclusion Ingested foreign bodies and perforation of the gastrointestinal tract by foreign bodies are rare events but may cause serious gut injuries. The ingestion of foreign bodies should be kept in mind as an important differential diagnosis in patients with acute abdomen or chronic abdominal pain of unknown origin, especially in children. Abdominal ultrasound can be a useful diagnostic tool in identifying ingested foreign bodies.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Kasper, PhilippUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kuetting, FabianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schloesser, Hans AntonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Moenig, Stefan PaulUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Goeser, TobiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jaspers, NatalieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-204667
DOI: 10.1055/s-0043-122086
Journal or Publication Title: Dtsch. Med. Wochenschr.
Volume: 143
Number: 1
Page Range: S. 36 - 40
Date: 2018
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 1439-4413
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
BODIES; PERFORATION; MANAGEMENT; GUIDELINE; DIAGNOSIS; CHILDRENMultiple languages
Medicine, General & InternalMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/20466

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