Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 6 Issue 4

Management of Accidental Traumatic Digestive Perforation After Ingestion of Medicinal Plant Indigenat, About 4 Cases, at the Amissa Bongo Regional Hospital Center in Franceville Gabon

Ngakani Offobo Silvère1*, Aseke Kundulunga J Albert2, Choua Ochiemi3 and François Ondo Ndong4

1General Surgery Department, Amissa BONGO Regional Hospital, Center of Franceville, Gabon
2Radiology Department, Amissa BONGO Regional Hospital, Center of Franceville, Gabon
3Central Referral Hospital of N'Djamena, Gabon
4Centre Hospitalier Universitaire Libreville, Gabon

*Corresponding Author: Ngakani Offobo Silvère, General Surgery Department, Amissa BONGO Regional Hospital, Center of Franceville, Gabon.

Received: December 08, 2021; Published: March 21, 2022


Digestive perforations are common in our region. Accidental digestive perforations occurring in traditional practitioners become recurrent and are a public health problem. Prolonged stays in the indigenate cause serious visceral lesions. The authors report four cases of perforations after ingestion of medicinal plants to the indigenate. The objective was to study the causal agent, the clinic, the paraclinical and the therapeutic strategy.

Keywords: Perforation; Digestive; Medicinal Plant; Laparotomy


  1. Lefriekh R., et al. “Ingestion of foreign bodies”. Moroccan Journal of Medicine and Health2 (2003): 52-57.
  2. Mohamed AAG. “Cervicotomy for ingestion of foreign bodies: About a case”. Black African Medicine 40 (1993): 4.
  3. Farmakakis T., et al. “Magnitude and object-specific hazards of aspiration and ingestion injuries among children in Greece”. International Journal of Pediatric Otorhinolaryngology 71 (2007): 317-324.
  4. Yasser M and Abu-Safieh F. “Food and foreign body impaction in upper GI tract”. Gastrointestinal Endoscopy5 (2004): 242.
  5. Sahota A., et al. “Foreign body ingestions: Characteristics and outcomes in a lower socioeconomic population”. Gastrointestinal Endoscopy5 (2006): 154.
  6. Monat S., et al. “Management of foreign bodies of the upper digestive tract”. Hepato-gastroenterology3 (2001): 179-187.
  7. Iseh K R., et al. “Pharyngo-oesophageal foreign bodies: Implications for health care services in Nigeria”. Annals of African Medicine1 (2006): 52-55.
  8. Vagner E A., et al. “Surgical policy in gastrointestinal tract foreign bodies”. Khirurgiia 5 (1999): 24-28.
  9. Goh B K., et al. “Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies”. World Journal of Surgery3 (2006): 372-377.
  10. Pavlidis TE., et al. “Management Of ingested foreign bodies: How justifiable is a waiting policy?” The Internet Journal of Surgery1 (2007).
  11. Letard JC. “Ingestion of foreign bodies”. Iléus 20 (2003): 13-15.
  12. Selivanov V., et al. “Management of foreign body ingestion”. Annales Surgery2 (1984): 187-191.
  13. Zhao-Shen L., et al. “Endoscopic management of foreign bodies in the upper-GI tract: experience with 1088 cases in China”. Gastrointestinal Endoscopy4 (2006): 485-492.
  14. Falandry L and Thery Y. “Intragastric foreign bodies, about an insolit observation”. 32.1 (1995): 45-48.
  15. Ben Rejeb A., et al. “Intestinal perforation by a fish stop, about an observation with literature review”. Annales de Chirurgie1 (1993): 68-70.
  16. Ehua Somian F., et al. “Fish stop peritonitis: Literature review, pathogenetic discussion”. Clinic (1998): 1914.
  17. Anselmi E H., et al. “Intestinal perforation caused by magnetic toys”. Journal of Pediatric Surgery 42 (2007): 13-16.
  18. Nui A., et al. “An intestinal volvulus caused by multiple magnet ingestion: an unexpected risk in children”. Journal of Pediatric Surgery 40 (2005): 9-11.
  19. Schober W., et al. “Uncommon case of a foreign body ingestion with consecutive small-bowel obstruction in a child”. European Journal of Pediatric Surgery 14 (2004): 279-282.
  20. Tupesis J P., et al. “A penny for your thoughts: Small bowel obstruction secondary to coin ingestion”. The Journal of Emergency Medicine3 (2004): 249-252.
  21. Vincent B., et al. “Strategy for the management of patients who have voluntarily ingested razor blades”. About eight cases”. Emergencies XVI (1997): 38-41.
  22. Aanoun N. “Foreign bodies of the esophagus: About 8 cases”. Medical Thesis (2004): 292.
  23. Webb Wa. “Management of foreign bodies of the upper gastrointestinal tract: Update”. Gastrointestinal Endoscopy 41 (1995): 39-51.
  24. Reilly J., et al. “Pediatric aerodigestive foreign body injuries are compilations related to timeliness of diagnosis”. Laryngoscope 107 (1997): 17-20.
  25. Mc Pherson RI., et al. “Esophageal foreign bodies in children: diagnosis, treatment, and complications”. American Journal of Roentgenology 166 (1996): 919-924.
  26. Ngeow WC. “Ingested denture”. British Dental Journal8 (2001): 418.
  27. Hunt I., et al. “Aortoesophageal perforation following ingestion of razorblades with massive haemothorax”. European Journal of Cardio-thoracic Surgery 31 (2007): 946-948.
  28. Stirnemann J., et al. “A deadly fishbone”. The Journal of Internal Medicine 27 (2006): 561-562.
  29. Laugel V., et al. “Accidental ingestion of button battery”. Archives of Pediatrics 6 (1999): 1231-1235.
  30. Bernad B., et al. “Jejunal perforation by fish stop diagnosed by abdominal computed tomography: about two cases”. Annals of Surgery 130 (2005): 636-639.
  31. Tsui BCH and Mossey J. “Ocult liver abscess following lineally unsuspected ingestion of foreign bodies”. Hepatology5 (1997): 445-448.
  32. Bocquet N., et al. “Hematemesis in an 11-month-old child: a rare mode of revelation of an intragastric foreign body”. Pediatric Archives 12 (2005): 424-426.
  33. Cossavella D., et al. “Intestinal perforation caused by a toothpick”. Minerva Chirurgica 3 (1998): 219-22
  34. Tsinopoulou A G., et al. “Pitfalls in the approach of foreign body ingestion: Significance of drooling”. Journal of Pediatrics 142 (2003): 736.
  35. Kim K H., et al. “Pancreatic foreign body: ingested toothpick as a cause of pancreatitis and hemorrhage”. Gastrointestinal Endoscopy1 (2004): 147-149.
  36. Naidoo RR., et al. “Chronic retained foreign bodies in the esophagus”. Annals of Thoracic Surgery 77 (2004): 2218-2220.
  37. Tanaka K., et al. “An incarcerated prosthetic tooth in the vermiform appendix”. Gastrointestinal Endoscopy2 (2007): 400-401.
  38. Scatton O., et al. “Toothpicks: let's be careful!” Journal of Surgery6 (2000): 355.
  39. Loridan E., et al. “A daughter of a mercière”. Journal of Surgery3 (2005): 172-173.
  40. Denet CH. “59-year-old woman admitted for haematemesis”. Journal of Surgery 138 (2001): 173-178.
  41. Peison B., et al. “Perforation of the sigmoid colon following ingestion of a dental plate”. New Jersey Medicine7 (1995): 452-453.
  42. Letard JC and Happinono M. “Foreign bodies ingested and ingestion of toxics”. Acta Endoscopica5 (2004): 671-678.
  43. Yong S K., et al. “Glue ingestion”. Gastrointestinal Endoscopy3 (2004): 429.
  44. Nadjem H., et al. “Ingestion of pointed objects in a complex suicide”. Forensic Science International 171 (2007): 11-14.
  45. Rousseau P., et al. “Intragastric foreign body. A rare complication of gastric tube up”. Annales Françaises d'Anesthésie et de Réanimation 25 (2006): 777-779.
  46. Letard JC., et al. “SFED Recommendation Sheet. Foreign bodies ingested”. Acta Endoscopica4 (2004): 627-629.
  47. Ousadden A., et al. “Gastric tricobezoard: an observation”. Annales de Chirurgie 129 (2004): 237-240.
  48. Kpémissi E., et al. “Esophageal foreign bodies: etiological and therapeutic overview. Experience of the University Hospital of Lomé (Togo)”. Cahiers d'études et de recherches francophones ∕ Santé5 (1997): 338-340.
  49. Kamath P., et al. “Foreign bodies in the aerodigestive tract—a clinical study of cases in the coastal belt of South India”. American Journal of Otolaryngology-Head and Neck Medicine and Surgery 27 (2006): 373-377.
  50. Haegen T W., et al. “Chronic inspiratory stridor secondary to a retained penetrating radiolucent esophageal foreign body”. Journal of Pediatric Surgery2 (2003): 6.
  51. Hrabar D., et al. “Gastric foreign body”. Gastrointestinal Endoscopy3 (2006): 498-499.
  52. Ali F E., et al. “A Chronic perforation of the sigmoid colon by foreign body”. Current Surgery4 (2005): 419-422.
  53. Soprano JV and Mandl K D. “Four stratrgies for the management of esophageal coins in children”. Pediatrics 107 (2001): 1497.
  54. Singh B., et al. “Complications associated with 327 foreign bodies of the pharynx, larynx, and esophagus”. Annals of Otology, Rhinology and Laryngology 106 (1997): 301-304.
  55. Karcher JC., et al. “Gastrobronchial fistula after toothbrush ingestion”. Journal of Pediatric Surgery 41 (2006): 1768-1770.
  56. Muranjan M., et al. “Unusual aero-digestive foreign bodies: Tribulations and tragedies”. International Journal of Pediatric Otorhinolaryngology 69 (2005): 1269-1274.


Citation: Ngakani Offobo Silvère., et al. “The Neonates' Body Length and Body Weight in Two Different Periods of Time”.Acta Scientific Medical Sciences 6.4 (2022): 141-147.


Copyright: © 2022 Ngakani Offobo Silvère., 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.


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