Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

02 May 2019 : Case report  Italy

Ongoing Computed Tomography Appraisal of Intestinal Perforation Due to an Ingested Foreign Body

Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Educational Purpose (only if useful for a systematic review or synthesis)

Giuseppe Cicero1AE*, Simona Caloggero1B, Marco Cavallaro1E, Luciano Frosina1E, Carmela Visalli1B, Velio Ascenti2F, Alfredo Blandino1D, Silvio Mazziotti1AE

DOI: 10.12659/AJCR.915290

Am J Case Rep 2019; 20:635-639

Abstract

BACKGROUND: Diagnosis and management of accidental or intentional ingestion of foreign bodies is a common problem at in emergency departments. This condition is generally observed in patients with limited consciousness or attention, such as children, elders, or psychiatric patients. Here, we report a case of intestinal perforation caused by ingestion of a foreign body that occurred during the performance of a contrast-enhanced CT scan.

CASE REPORT: A 73-year-old diabetic woman was admitted to the emergency room of our hospital with postprandial abdominal discomfort, nausea, and vomiting. Under the suspicion of bowel ischemia, the patient underwent a contrast-enhanced CT scan. A thickened ileal loop with an endoluminal bone-density foreign body was detected. The following contrast-enhanced acquisitions additionally showed air bubbles adjacent to the loop, as the sign of an intestinal perforation that occurred between the basal and the contrast-enhanced acquisitions.

CONCLUSIONS: Caution should be always exercised in patients with suspected gastrointestinal perforation, especially if caused by ingested foreign bodies. A high degree of suspicion and a CT scan may prevent delays in the diagnosis and clinical management of these patients.

Keywords: Eating, Foreign Bodies, Intestinal Perforation, Tomography Scanners, X-Ray Computed, Deglutition, Ileal Diseases, Ileum, Laparotomy, Tomography, X-Ray Computed

Add Comment 0 Comments

In Press

Case report  Belgium

Takotsubo Syndrome-Induced Cardiogenic Shock in Lung Transplantation: Importance of Early Diagnosis and ECM...

Am J Case Rep In Press; DOI: 10.12659/AJCR.944942  

Case report  China

Priapism Following Coronary Angiography: A Case Report and Clinical Insights for Diagnosis and Management

Am J Case Rep In Press; DOI: 10.12659/AJCR.943609  

Case report  USA

Anterior Mitral Line Ablation-Induced Complete Heart Block: A Cautionary Case Study

Am J Case Rep In Press; DOI: 10.12659/AJCR.945818  

Case report  South Korea

Dual-Plate Fixation in Treatment of Clavicle Fractures in Dementia Patients: A Case Series

Am J Case Rep In Press; DOI: 10.12659/AJCR.945489  

Most Viewed Current Articles

21 Jun 2024 : Case report  China (mainland) 72,630

Intracranial Parasitic Fetus in a Living Infant: A Case Study with Surgical Intervention and Prognosis Anal...

DOI :10.12659/AJCR.944371

Am J Case Rep 2024; 25:e944371

0:00

07 Mar 2024 : Case report  USA 44,111

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

0:00

10 Jan 2022 : Case report  Germany 32,596

A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...

DOI :10.12659/AJCR.935263

Am J Case Rep 2022; 23:e935263

23 Feb 2022 : Case report  USA 20,506

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923