Small bowel perforation secondary to foreign body ingestion mimicking appendicitis: a case report

Authors

  • Bijit B. Medhi Department of General Surgery, SMS&R, Sharda University, Greater Noida, UP, India
  • P. D. Gupta Department of General Surgery, SMS&R, Sharda University, Greater Noida, UP, India
  • Fahad Tauheed Department of General Surgery, SMS&R, Sharda University, Greater Noida, UP, India
  • Vikram Singh Chauhan Department of General Surgery, SMS&R, Sharda University, Greater Noida, UP, India

DOI:

https://doi.org/10.18203/2349-2902.isj20213622

Keywords:

Foreign body ingestion, Small bowel, Perforation, Mimicking, Appendicitis

Abstract

Admittance in the emergency room with complaints of acute abdominal pain is a common scenario. Patients who see the doctor due to foreign object ingestion present transitory symptomatology. In most cases, foreign object ingestion in adults is accidental, although it may be linked to physiological, anatomical, mechanical, social and psychiatric factors. The frequency of voluntarily ingested objects is higher among children and teenagers than in any other age group. Few people go to the doctor because of persistent clinical manifestations or secondary manifestations of previous complications. In most cases, the foreign body is found incidental to another medical procedure. Here we report a case of small bowel perforation due to ingestion of a sharp foreign body in a 2 years old child. We further elaborate that how, in paediatric age group these conditions are frequently misdiagnosed and usually present late to us. Hence, the increasing need and importance of a thorough pre-op workup, especially in the pediatric age group.

References

Seo JK. Endoscopic management of gastrointestinal foreign bodies in children. Indian J Pediatr. 1999;66(1 Suppl):S75-80.

Cleator IG, Christie J. An unusual case of swallowed dental plate and perforation of the sigmoid colon. Br J Surg. 1973;60(2):163-5.

Perelman H. Tooth pick perforations of the gastrointestinal tract. J Abdom Surg. 1965;51-3.

Ashraf O. Foreign body in the esophagus: a review. Sao Paulo Med J. 2006;124(6):346-9.

Incidental foreign body in the gastrointestinal tract. Report of three cases and literature review. Rev Col Gastroenterol. 2011;26:4.

Akhtar S, McElvanna N, Gardiner K, Irwin S. Bowel perforation caused by swallowed chicken bones: A case series. Ulster Med J. 2007;76(1):37-8.

Madrona AP, Hernández JAF, Prats MC. Intestinal perforation by foreign bodies. Eur J Surg. 2000;166:307-9.

Hsu SD, Chan DC, Liu YC. Small-bowel perforation caused by fish bone. World J Gastroenterol. 2005;11:1884-5.

Perko Z, Bilan K, Pogorelić Z. Acute appendicitis and ileal perforation with a toothpick treated by laparoscopy. Coll Antropol. 2008;32:307-9.

Almoudaris. Fish bone perforation mimicking acute appendicitis. J Med Cases. 2011;2:296-9.

Small bowel perforation secondary to foreign body ingestion mimicking acute appendicitis. Medicine (Baltimore). 2019;98(30):e16489.

Downloads

Published

2021-08-27

Issue

Section

Case Reports