Ingested Fishbone Results in Sigmoid Colon Perforation

The unwitting swallowing of a foreign body is not uncommon and rarely causes perforation of any part of the gastrointestinal tract. We have reported in this case of a 46-year-old man who presented with a clinical picture similar to a perforated peptic ulcer. At the laparotomy exploration, the case w...

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Bibliographic Details
Main Author: Sami M Al-Rubaye
Format: Article
Language:English
Published: University of Anbar 2020-12-01
Series:Al-Anbar Medical Journal
Subjects:
Online Access:https://amj.uoanbar.edu.iq/article_171051_9bcf3a0f9ffa4b72ca5d0cae90724589.pdf
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Summary:The unwitting swallowing of a foreign body is not uncommon and rarely causes perforation of any part of the gastrointestinal tract. We have reported in this case of a 46-year-old man who presented with a clinical picture similar to a perforated peptic ulcer. At the laparotomy exploration, the case was a perforation of the sigmoid colon by a fishbone (6 cm in length). The foreign object was removed and the perforated site was closed by the primary suturing. There were no postoperative complications. Although intestinal perforation due to an ingested foreign object is seldom to be seen, the surgeon must be aware of its occurrence and put it as one of the differential diagnosis in a case of an acute abdomen. A detailed history and computerized tomography (CT) scan are essential tools to detect intestinal foreign bodies in subjects with acute abdomen.
ISSN:2706-6207
2664-3154