Perforation of midpart of ileum caused by entrapment of a large, wide foreign body

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Annals of Gastroenterology
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Perforation of midpart of ileum caused by entrapment of a large, wide foreign body (EN)

Kountouras J.,
Kouklakis G.,
Chatzopoulos D.,
Vrettos M.,
Zavos Ch.,

SUMMARY We report the case of a 54-year old male patient with a long history of irritable bowel syndrome who unknowingly swallowed a foreign body (wire) while having roast, lamb as a meal. The wire body ultimately perforated the midpart of the ileum over a period of one month. Gastroenteritis and irritable bowel dysfunction were sequentially considered as possible diagnoses. A plain radiograph of the abdomen in the erect position revealed the foreign body, a metal curved wire about 6-8 cm long, and 2-3 cm wide located in the upper- midpart of the abdomen, with no signs of gastrointestinal perforation. Upper GI endoscopy until the third portion of the duodenum did not reveal the foreign object. Surgical intervention revealed free perforation of the midpart of the ileum in two sites caused by the points of the curved wire, which was removed. In the case reported, the long, wide object passed through the stomach and the bowel perforation clinical signs were mild, starting over a period of long time after the initial event of the accidental swallowing of the wire object. Key words: foreign body, small-bowel perforation, endoscopy, x-rays, surgical exploration. (EN)


Αγγλική γλώσσα


Hellenic Society of Gastroenterology (EN)

Annals of Gastroenterology; Volume 14, No 4 (2001) (EN)

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