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Case Reports
. 2019 Apr 17:6:152-155.
doi: 10.1016/j.ejro.2019.04.002. eCollection 2019.

When traditions become dangerous: Intestinal perforation from unusual foreign body-Case report and short literature review

I Simonetti  1 , M Puglia  2 , L Tarotto  1 , F Palumbo  1 , F Esposito  3 , A Sciuto  3 , L Palumbo  2 , A Ragozzino  2
Affiliations
Case Reports

When traditions become dangerous: Intestinal perforation from unusual foreign body-Case report and short literature review

I Simonetti et al. Eur J Radiol Open. .

Abstract

Gastrointestinal perforation (GI) is a common cause of acute abdomen in the emergency department that needs a prompt surgery intervention. Nowadays, CT examinations represent the method of choice to image patients with acute abdominal pain in emergency. GI perforations by foreign bodies ingested is rare and only <1% of ingested foreign bodies are believed to cause perforation of GI. MDCT is to be considered the best imaging method for identifying foreign bodies, the perforation site and the surgical treatment to be planned reliably. We presente a case of 70-year-old lady presented to our Emergency Department with acute abdominal pain.

Keywords: Acute abdomen MDCT; Bowel perforation; CT gastrointestinal tract (GI); Computer tomography (CT); Foreign body gastrointestinal tract perforation; Perforation MDCT.

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Figures

Fig. 1
Fig. 1
MDCT Multiplanar reformation (MPR). Axial (A, B), coronal (C), sagittal (D) show typical findings of a sigmoid colon diverticulitis complicated by a wall perforation with the evidence of an extraperitoneal gaseous fluid collection containing a linear hyperdense object (approximately 20 x 5 mm axial diameters) to refer to a foreign body.
Fig. 2
Fig. 2
(A, B) Surgery images confirm the sigmoid perforation and the ingested object found in the extraluminal inhomogeneous collection was a date nut tip.
See this image and copyright information in PMC

References

    1. Borofsky S., Taffel M., Khati N., Zeman R., Hill M. The emergency room diagnosis of gastrointestinal tract perforation: the role of CT. Emerg. Radiol. 2015;22:315–327. - PubMed
    1. Romano S., Lombardo P., Cinque T., Tortora G., Romano L. Acute colonic disease: how to image in emergency. Eur. J. Radiol. 2007;61:424–432. - PubMed
    1. Sung H.K., Sang S.S., Yong Y.J., Suk H.H., Jin W.K., Heoung K.K. Gastrointestinal tract perforation: MDCT findings according to the perforation sites. Korean J. Radiol. 2009;10:63–70. - PMC - PubMed
    1. Romano L., Romano S., Di Pietto F., Scaglione M., Martino A., Grassi R., Tortora G. MDCT in blunt intestinal trauma. Eur. J. Radiol. 2006;59:359–366. - PubMed
    1. Kothari K., Friedman B., Grimaldi G.M., Hines J.J. Nontraumatic large bowel perforation: spectrum of etiologies and CT findings. Abdom. Radiol. 2017;42:2597–2608. - PubMed

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