Perforation of the gastrointestinal tract and pancreas, with porta vein thrombosis secondary to the ingestion of a foreign body
Clinical case
Keywords:
FOREIGN BODIES, INTESTINAL PERFORATION, PANCREATIC PERFORATION, THROMBOSIS, PORTAL VEIN
Abstract
Accidental ingestion of foreign bodies is rather a frequent entity in the ER, presenting in general as non-specific abdominal pain. The study presents the case of a patient who ingested a wooden toothpick, the handling of which was conservative. Evolution was torpid, requiring emergency surgery given the perforation of the stomach and pancreas.
References
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2) Goh BK, Chow PK, Quah HM, Ong HS, Eu KW, Ooi LL, et al. Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies. World J Surg 2006; 30(3):372-7. doi: 10.1007/s00268-005-0490-2.
3) Williams TR, Okoli J. Spontaneous resolution of gastric perforation caused by an ingested foreign body: a case report. J Surg Case Rep 2021(11):rjab506. doi: 10.1093/jscr/rjab506.
4) Chen J, Wang C, Zhuo J, Wen X, Ling Q, Liu Z, et al. Laparoscopic management of enterohepatic migrated fish bone mimicking liver neoplasm: a case report and literature review. Medicine (Baltimore) 2019; 98(11):e14705. doi: 10.1097/MD.0000000000014705.
5) Enes Silva J, Pinelas S, Pacheco M, Patacho M, Almeida J. Gastric perforation by fish bone with hepatic abscess formation presenting as prolonged fever. IDCases 2021; 24:e01159. doi: 10.1016/j.idcr.2021.e01159.
6) Garrido R, Verástegui T, Huanqui JC, Cardenas B. Abdomen agudo debido a perforación gástrica por cuerpo extraño de larga permanencia: reporte de caso. Rev Gastroenterol Perú 2012; 32(1):84-7.
7) Mulita F, Papadopoulos G, Tsochatzis S, Kehagias I. Laparoscopic removal of an ingested fish bone from the head of the pancreas: case report and review of literature. Pan Afr Med J 2020; 36:123. doi: 10.11604/pamj.2020.36.123.23948.
8) Mima K, Sugihara H, Kato R, Matsumoto C, Nomoto D, Shigaki H, et al. Laparoscopic removal of an ingested fish bone that penetrated the stomach and was embedded in the pancreas: a case report. Surg Case Rep 2018; 4(1):149. doi: 10.1186/s40792-018-0559-4.
9) Steinbach C, Stockmann M, Jara M, Bednarsch J, Lock JF. Accidentally ingested toothpicks causing severe gastrointestinal injury: a practical guideline for diagnosis and therapy based on 136 case reports. World J Surg 2014; 38(2):371-7. doi: 10.1007/s00268-013-2307-z.
10) Shin D, Rahimi H, Haroon S, Merritt A, Vemula A, Noronha A, et al. Imaging of gastrointestinal tract perforation Radiol Clin North Am 2020; 58(1):19-44 doi: 101016/jrcl201908004.
11) Zhang L, Liu L, Shao J, Sun F, Zhao L Abdominal skin inflammation as an initial symptom of a perforating gastric foreign body: a case report Medicine (Baltimore) 2020; 99(40):e22534. doi: 101097/MD0000000000022534.
12) Kurin M, Jin-Dominguez F, Sclair S Penetrating toothpick in the portal vein resulting in refractory multifocal liver abscesses ACG Case Rep J 2021; 8(6):e00615. doi: 1014309/crj0000000000000615.
13) Nicolodi G, Trippia C, Caboclo MF, de Castro FG, Miller WP, de Lima RR, et al Intestinal perforation by an ingested foreign body Radiol Bras 2016; 49(5):295-9. doi: 101590/0100-398420150127.
14) Hu K, McGwin G Toothpick-related injuries in the United States from 2001 to 2017 Inter J Inj Contr Saf Promot 2021; 28(3):387-91. doi: 101080/1745730020211930059.
2) Goh BK, Chow PK, Quah HM, Ong HS, Eu KW, Ooi LL, et al. Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies. World J Surg 2006; 30(3):372-7. doi: 10.1007/s00268-005-0490-2.
3) Williams TR, Okoli J. Spontaneous resolution of gastric perforation caused by an ingested foreign body: a case report. J Surg Case Rep 2021(11):rjab506. doi: 10.1093/jscr/rjab506.
4) Chen J, Wang C, Zhuo J, Wen X, Ling Q, Liu Z, et al. Laparoscopic management of enterohepatic migrated fish bone mimicking liver neoplasm: a case report and literature review. Medicine (Baltimore) 2019; 98(11):e14705. doi: 10.1097/MD.0000000000014705.
5) Enes Silva J, Pinelas S, Pacheco M, Patacho M, Almeida J. Gastric perforation by fish bone with hepatic abscess formation presenting as prolonged fever. IDCases 2021; 24:e01159. doi: 10.1016/j.idcr.2021.e01159.
6) Garrido R, Verástegui T, Huanqui JC, Cardenas B. Abdomen agudo debido a perforación gástrica por cuerpo extraño de larga permanencia: reporte de caso. Rev Gastroenterol Perú 2012; 32(1):84-7.
7) Mulita F, Papadopoulos G, Tsochatzis S, Kehagias I. Laparoscopic removal of an ingested fish bone from the head of the pancreas: case report and review of literature. Pan Afr Med J 2020; 36:123. doi: 10.11604/pamj.2020.36.123.23948.
8) Mima K, Sugihara H, Kato R, Matsumoto C, Nomoto D, Shigaki H, et al. Laparoscopic removal of an ingested fish bone that penetrated the stomach and was embedded in the pancreas: a case report. Surg Case Rep 2018; 4(1):149. doi: 10.1186/s40792-018-0559-4.
9) Steinbach C, Stockmann M, Jara M, Bednarsch J, Lock JF. Accidentally ingested toothpicks causing severe gastrointestinal injury: a practical guideline for diagnosis and therapy based on 136 case reports. World J Surg 2014; 38(2):371-7. doi: 10.1007/s00268-013-2307-z.
10) Shin D, Rahimi H, Haroon S, Merritt A, Vemula A, Noronha A, et al. Imaging of gastrointestinal tract perforation Radiol Clin North Am 2020; 58(1):19-44 doi: 101016/jrcl201908004.
11) Zhang L, Liu L, Shao J, Sun F, Zhao L Abdominal skin inflammation as an initial symptom of a perforating gastric foreign body: a case report Medicine (Baltimore) 2020; 99(40):e22534. doi: 101097/MD0000000000022534.
12) Kurin M, Jin-Dominguez F, Sclair S Penetrating toothpick in the portal vein resulting in refractory multifocal liver abscesses ACG Case Rep J 2021; 8(6):e00615. doi: 1014309/crj0000000000000615.
13) Nicolodi G, Trippia C, Caboclo MF, de Castro FG, Miller WP, de Lima RR, et al Intestinal perforation by an ingested foreign body Radiol Bras 2016; 49(5):295-9. doi: 101590/0100-398420150127.
14) Hu K, McGwin G Toothpick-related injuries in the United States from 2001 to 2017 Inter J Inj Contr Saf Promot 2021; 28(3):387-91. doi: 101080/1745730020211930059.
Published
2023-05-31
How to Cite
1.
Elicegui V, Tasende L, Pontillo M. Perforation of the gastrointestinal tract and pancreas, with porta vein thrombosis secondary to the ingestion of a foreign body. Rev. Méd. Urug. [Internet]. 2023May31 [cited 2024Dec.18];39(2):e701. Available from: https://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/1031
Section
Clinical Cases
This work is licensed under a Creative Commons Attribution 4.0 International License.
