Gradual colonic impaction of a chicken bone associated with inflammatory pseudotumor formation and nonocclusive colon ischemia
| Autor: | Giovanni Simonetti, Flavio De Sanctis, Alessio Bindi, Stefania Fosi, Piero Rossi, Mauro Montuori, Simone Altobelli, Edoardo Ricciardi, M Villa, Giuseppe Petrella |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
Gastrointestinal tract medicine.medical_specialty Impaction business.industry lcsh:R895-920 Perforation (oil well) Context (language use) Case Report General Medicine medicine.disease Descending colon Surgery Settore MED/18 - Chirurgia Generale medicine.anatomical_structure medicine Inflammatory pseudotumor Ingestion Foreign body business |
| Zdroj: | Case Reports in Radiology Case Reports in Radiology, Vol 2014 (2014) |
| Popis: | Foreign body (FB) ingestion is a common clinical problem and most FBs pass through the gastrointestinal tract without the need for intervention. A wide spectrum of clinical presentations may be possible and these can be either acute or chronic. We present a case of an 83-year-old woman featuring insidious abdominal discomfort who was hospitalized in our institution due to worsening symptoms. She underwent contrast-enhanced computed tomography (CT) evaluation which showed the presence of a significant parietal thickening of the transverse and descending colon, a mesenteric loose tissue imbibition, venous engorgement, and no filling defect of visceral arteries, suggesting a condition of nonocclusive colon ischemia. A hyperdense FB was identified in the sigma and was associated with a small pseudotumoral mass. The patient underwent surgical exploration which confirmed the hypoperfusional state of the colon, showing the presence of a chicken bone perforating the sigma and lying in the context of a pseudotumoral mass. Our experience shows how contrast-enhanced CT is feasible and can be strongly recommended as a first-line imaging tool on suspicion of colon ischemia and also how it can easily identify the underlying cause, in our case a FB sealed perforation of the sigma with pseudotumoral mass formation. |
| Databáze: | OpenAIRE |
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