Affiliation:
1. General Surgery Department / Hospital Regional Valentín Gómez Farías, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE)/Zapopan Jalisco, México
2. Anestesiology Department / Hospital Regional Valentín Gómez Farías, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE)/Zapopan Jalisco, México
Abstract
Introduction: The ingestion of a foreign body (FB) is uncommon, yet important cause of gastrointestinal
injury; it has more incidence in the pediatric population. Less than 1 % of the FB is associated with
complications, particularly gastrointestinal perforations. We present the case of a 76 years old Case report: female, who refers
lower quadrant abdominal pain of 48 hours of evolution, with gradually exacerbation over 1 day, The CT Findings reveal the
presences of pneumoperitoneum and a high-density FB in the architecture of rectosigmoid colon, she underwent exploratory
laparotomy with trans -surgical ndings: Perforation of 0.5 cm in rectosigmoid union, with the protrusion of a bone with
perilesional edema. Treated with suturing in two planes, with good evolution. Most ingest Discussion and conclusions: ed FB
pass through the GI tract uneventfully within 1 week, and is more common among children and older individuals. Patients with
dentures, alcoholics and psychiatric patients are at high risk of FB ingestions. In the case of perforation due to foreign body,
different techniques can be performed; the most common are: In the stomach, primary suture, in the small bowel, primary suture
or segmental resection with anastomosis, and in the colon, sigmoid and rectum, primary suture, wound eversion by colostomy,
segmental resection with anastomosis, and segmental resection with proximal colostomy.
Subject
Paleontology,Stratigraphy,Geology,Building and Construction,Architecture,Human Factors and Ergonomics,Orthopedics and Sports Medicine,Industrial and Manufacturing Engineering,Polymers and Plastics,Mechanical Engineering,Mechanics of Materials,Civil and Structural Engineering,General Physics and Astronomy,Literature and Literary Theory,Linguistics and Language,Language and Linguistics,Psychiatry and Mental health,Clinical Psychology,Development,Geography, Planning and Development,Health Policy,Economics, Econometrics and Finance (miscellaneous),Literature and Literary Theory,Linguistics and Language