Acta Scientific Clinical Case Reports

Case Report Volume 3 Issue 1

Needle in a Haystack. A Silent Foreign Body Perforating into Abdominal Cavity, Case Report and Literature Review

Danielle James, Sami M Abd Elwahab*, Johnathon Harris and Ray McLaughlin

Department of Surgery, Galway University Hospital, Galway, Ireland

*Corresponding Author: Sami M Abd Elwahab, Department of Surgery, Galway University Hospital, Galway, Ireland.

Received: November 29, 2021; Published: December 14, 2021

Abstract

Foreign body (FB) ingestion is common; however, the exact incidence is difficult to identify as most are asymptomatic. It is not uncommon that patients do not recall ingesting the FB. The incidence of those requiring surgical removal were reported to be around 1-14%. Treatment options for ingested foreign bodies continue to evolve. Previously, patients were subjected to emergent laparotomy to remove the object and prevent perforation. This approach is no longer recommended with the advent of endoscopic and laparoscopic techniques. In this report, we present a 76years old male who presented a metallic foreign body that silently perforated through bowel and got lodged in the peritoneal lining of the anterior abdominal wall. We also review the published literature around this subject.

Keywords: Foreign Body Ingestion; Laparoscopic Foreign Body Extraction; Silent Small Bowel Perforation; Delayed FB Perforation; Foreign Body Migration

References

  1. Webb WA. “Management of foreign bodies of the upper gastrointestinal tract”. Gastroenterology 94 (1988): 204.
  2. Omejc M. “Laparoscopic removal of an ingested pin migrating into the liver”. Surgical Endoscopy 16 (2012): 537-539.
  3. Nadko G Velitchkov., et al. “Ingested Foreign Bodies of the Gastrointestinal Tract: Retrospective Analysis of 542 Cases”. World Journal of Surgery 20 (1996): 1001-1005.
  4. Anderson MA. “Management of ingested foreign bodies and food impactions”. Gastrointestinal Endoscopy6 (2011): 1085-1091.
  5. Schwartz GF and Polsky HS. “Ingested foreign bodies of the gastrointestinal tract”. American Surgeon4 (1976): 236-238.
  6. Coulier B., et al. “Spiral CT and multidetector-row CT diagnosis of perforation of the small intestine caused by ingested foreign bodies”. European Radiology10 (2004): 1918-1925.
  7. Marco De Lucas E., et al. “Value of helical computed tomography in the management of upper esophageal foreign bodies”. Acta Radiology4 (2004): 369-374.

Citation

Citation: Sami M Abd Elwahab., et al. “Needle in a Haystack. A Silent Foreign Body Perforating into Abdominal Cavity, Case Report and Literature Review". Acta Scientific Clinical Case Reports 3.1 (2022): 42-45.

Copyright

Copyright: © 2022 Sami M Abd Elwahab., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

Indexed In