Perforation of a Meckelʼs Diverticulum Caused by Ingestion of a Coin

Autor:	Mann Wj, Butterman Mk, Halverson Jm, Hoefer Ra, Legier Jf
Rok vydání:	1994
Předmět:	Adult medicine.medical_specialty Perforation (oil well) Tissue Adhesions Physical examination digestive system Ileum Pelvic inflammatory disease otorhinolaryngologic diseases Humans Medicine Pelvis Meckel's diverticulum Gastrointestinal tract medicine.diagnostic_test Ileal Diseases business.industry General Medicine Foreign Bodies medicine.disease Surgery Meckel Diverticulum Intestinal Diseases medicine.anatomical_structure Intestinal Perforation Female Chills medicine.symptom business Omentum Diverticulum Pelvic Inflammatory Disease
Zdroj:	Southern Medical Journal. 87:823-824
ISSN:	0038-4348
DOI:	10.1097/00007611-199408000-00013
Popis:	A 25-year-old woman ingested a quarter. Three days later, lower abdominal pain, fever, chills, and physical findings compatible with pelvic inflammatory disease developed. Radiographic examination showed the coin in the middle pelvis. Persistent abdominal complaints, abnormal physical examination, and failure of the coin to progress through the gastrointestinal tract despite conservative management led to surgical intervention. Exploration revealed an inflammatory process in the posterior uterine culde-sac with multiple omental, small bowel, and uterine adhesions due to perforation of a Meckel's diverticulum. Excision of the Meckel's diverticulum was done, and the patient recovered satisfactorily.
Databáze:	OpenAIRE
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