Acute abdomen caused by small bowel perforation by a clinically unsuspected fishbone: a case report
| Autor: | Konstantinos Spiridakis, Eleni Drakonaki, Maria Chatzioannou, George Panagiotakis |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Abdominal pain
medicine.medical_specialty business.industry medicine.medical_treatment medicine.disease Surgery medicine.anatomical_structure Acute abdomen Granuloma Laparotomy medicine Vomiting Radiology Nuclear Medicine and imaging Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Sinus (anatomy) Fish bone Small bowel perforation |
| Zdroj: | Diagnostic and Interventional Radiology. |
| ISSN: | 1305-3825 |
| Popis: | We report the case of a 78-year-old woman with a three-day history of abdominal pain and vomiting. An abdominal plain film showed a distended small bowel loop and no signs of free intra-abdominal gas. An abdominal ultrasound revealed a mass containing a linear, hyperechoic structure. The mass was connected through a sinus tract to an adjacent aperistaltic small bowel loop. A laparotomy revealed a jejunal perforation and an omental granuloma containing a fish bone. Accidentally ingested foreign bodies should always be suspected in cases of acute abdomen, and ultrasonography remains a firstline examination tool for preoperative diagnoses of unsuspected foreign bodies and their complications. |
| Databáze: | OpenAIRE |
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