Occurrence of multiple fistulas decades after ingestion and neglect of numerous thermometers: a case report
Abstract Background Ingestion of thermometers is a very rare occurrence and associated with penetrations of hollow organs. An event decades ago can lead to the development of fistulas. Case presentation We present a case of a 62-year-old male who swallowed multiple thermometers with a length of up t...
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| Language: | English |
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Japan Surgical Society
2024-01-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-023-01801-w |
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| author | Katrin Schulte Henning Wendelin Wolf |
| author_facet | Katrin Schulte Henning Wendelin Wolf |
| author_sort | Katrin Schulte |
| collection | DOAJ |
| description | Abstract Background Ingestion of thermometers is a very rare occurrence and associated with penetrations of hollow organs. An event decades ago can lead to the development of fistulas. Case presentation We present a case of a 62-year-old male who swallowed multiple thermometers with a length of up to 22 cm over a period of 40 years. Diagnostic imaging presented a retroperitoneal abscess due to a duodenal perforation of the longest thermometer as well as multiple other thermometers stuck in the small intestine. After all thermometers were removed and the abscess drained, the patient showed a clinical deterioration. In further operations we found a duodeno-sigmoid fistula and a gastro-thoracal fistula, which were not visible in the initial operations and imaging. Conclusion We recommend an active search for fistulas especially in the case of long-foregone ingestion. |
| format | Article |
| id | doaj-art-4fdc16aa4e1d44e3a91f1dab9b642617 |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-4fdc16aa4e1d44e3a91f1dab9b6426172025-08-20T03:34:36ZengJapan Surgical SocietySurgical Case Reports2198-77932024-01-011011510.1186/s40792-023-01801-wOccurrence of multiple fistulas decades after ingestion and neglect of numerous thermometers: a case reportKatrin Schulte0Henning Wendelin Wolf1General and Visceral Surgery, Cantonal Hospital AarauGeneral and Visceral Surgery, Cantonal Hospital AarauAbstract Background Ingestion of thermometers is a very rare occurrence and associated with penetrations of hollow organs. An event decades ago can lead to the development of fistulas. Case presentation We present a case of a 62-year-old male who swallowed multiple thermometers with a length of up to 22 cm over a period of 40 years. Diagnostic imaging presented a retroperitoneal abscess due to a duodenal perforation of the longest thermometer as well as multiple other thermometers stuck in the small intestine. After all thermometers were removed and the abscess drained, the patient showed a clinical deterioration. In further operations we found a duodeno-sigmoid fistula and a gastro-thoracal fistula, which were not visible in the initial operations and imaging. Conclusion We recommend an active search for fistulas especially in the case of long-foregone ingestion.https://doi.org/10.1186/s40792-023-01801-wForeign body ingestionThermometerEndoscopic removalFistulasCase report |
| spellingShingle | Katrin Schulte Henning Wendelin Wolf Occurrence of multiple fistulas decades after ingestion and neglect of numerous thermometers: a case report Surgical Case Reports Foreign body ingestion Thermometer Endoscopic removal Fistulas Case report |
| title | Occurrence of multiple fistulas decades after ingestion and neglect of numerous thermometers: a case report |
| title_full | Occurrence of multiple fistulas decades after ingestion and neglect of numerous thermometers: a case report |
| title_fullStr | Occurrence of multiple fistulas decades after ingestion and neglect of numerous thermometers: a case report |
| title_full_unstemmed | Occurrence of multiple fistulas decades after ingestion and neglect of numerous thermometers: a case report |
| title_short | Occurrence of multiple fistulas decades after ingestion and neglect of numerous thermometers: a case report |
| title_sort | occurrence of multiple fistulas decades after ingestion and neglect of numerous thermometers a case report |
| topic | Foreign body ingestion Thermometer Endoscopic removal Fistulas Case report |
| url | https://doi.org/10.1186/s40792-023-01801-w |
| work_keys_str_mv | AT katrinschulte occurrenceofmultiplefistulasdecadesafteringestionandneglectofnumerousthermometersacasereport AT henningwendelinwolf occurrenceofmultiplefistulasdecadesafteringestionandneglectofnumerousthermometersacasereport |