A needle in the colon, the risk of ingested foreign objects: a case report

Author:

Espin Darwin S1,Tufiño Jorge F1,Cevallos Jaime M1,Zumárraga Fernando2,Orozco Vanessa E2,Proaño Estefany J3,Molina Gabriel A4

Affiliation:

1. Department of General Surgery, Hospital San Francisco, IESS, Quito, Ecuador

2. PGY3 Pontificia Universidad Catolica del Ecuador, Quito, Ecuador

3. Department of Emergency Medicine at IESS Quito-Sur, Quito, Ecuador

4. Department of General Surgery at Hospital Metropolitano & Universidad San Francisco (USFQ), Quito, Ecuador

Abstract

Abstract Ingestion of foreign bodies is often found in clinical practice; however, intestinal perforation due to ingestion of foreign bodies is rare. Sharp and metallic objects are usually the ones that cause most complications. Preoperative diagnosis is difficult since the clinical presentation is vague and nonspecific presentation can simulate many abdominal pathologies. Patients are rarely aware of foreign body ingestion, and a high index of suspicion is required to make a timely diagnosis. In addition, treatment demands prompt surgery to avoid dangerous complications. We present the case of a 19-year-old tailor; he inadvertently swallowed a needle and presented to the emergency department with a colonic perforation. Surgery was required, and he recovered completely.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference9 articles.

1. Gastrointestinal foreign bodies;McCanse,1981

2. Ingested foreign bodies within the appendix: a 100-year review of the literature;Klingler;Digestive Diseases,1998

3. Foreign body ingestions in the emergency department: case reports and review of treatment;Blaho;The Journal of Emergency Medicine,1998

4. Escalating ingestion of razor blades in a patient with borderline personality disorder;Kunte;Prim Care Companion CNS Disord,2015

5. Hard to swallow: a systematic review of deliberate foreign body ingestion;Poynter;General Hospital Psychiatry,2011

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