Double duodenal perforation following foreign body ingestion.

Autor: Gardner, Andrew W., Radwan, Rami W., Allison, Miles C., Codd, Rhodri J.
Zdroj: BMJ Case Reports; 12/7/2017, Vol. 2017, p1-3, 3p, 3 Color Photographs, 1 Black and White Photograph
Abstrakt: Intentional ingestion of a foreign body in adults is a rare clinical presentation. This case is one of a 27-yearold Sudanese man who presented having swallowed a ballpoint pen intentionally. Clinical examination and plain chest radiograph exhibited no signs indicative of perforation with only a raised C reactive protein identified on blood tests. Subsequent gastroscopy revealed that the pen had simultaneously perforated the duodenum at both D1 and D3 requiring removal via a laparotomy. The patient fully recovered and was discharged 2 weeks postoperatively following psychiatric input. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index