scholarly journals A very persistent chicken bone: two separate perforations from the same foreign object 2 months apart

2019 ◽  
Vol 12 (5) ◽  
pp. e228050
Author(s):  
Andrew James Brown ◽  
Thomas Whitehead-Clarke ◽  
Vera Tudyka
Keyword(s):  
Small Bowel ◽  
Bowel Perforation ◽  
Linear Structure ◽  
Small Bowel Resection ◽  
Emergency Laparotomy ◽  
Small Bowel Perforation ◽  
Chicken Bone ◽  
Abdomen Ct ◽  
Distal Migration ◽  
The Right

A 56-year-old man presented acutely with abdominal pain and raised inflammatory markers. Initial CT images demonstrated acute inflammation in the right upper quadrant surrounding a high-density linear structure. The appearance was of a chicken bone causing a contained small bowel perforation. This was managed conservatively with intravenous antibiotics and the patient was discharged 10 days later. The same patient returned to the hospital 2 months later, once again with an acute abdomen. CT imaging on this occasion showed distal migration of the chicken bone as well as free gas and fluid indicative of a new small bowel perforation. The patient underwent an emergency laparotomy, washout and small bowel resection. No foreign body was found at laparotomy or in the histopathology specimen. The postoperative course was complicated by an anastomotic leak. A further CT on that admission demonstrated that the chicken bone had migrated to the rectum!

scholarly journals A Case of Small Bowel Perforation Caused by an Ingested Chicken Bone in which the Perforated Site Closed Spontaneously

2017 ◽  
Vol 78 (5) ◽  
pp. 1004-1007 ◽  
Author(s):  
Sawa MINOHARA ◽  
Naoki IKENAGA ◽  
Hiroyuki KONOMI ◽  
Masayuki OKIDO ◽  
Hitoshi ICHIMIYA
Keyword(s):  
Small Bowel ◽  
Bowel Perforation ◽  
Small Bowel Perforation ◽  
Chicken Bone

scholarly journals Case of small bowel perforation secondary to nivolumab and ipilimumab related tumour regression

2020 ◽  
Vol 13 (2) ◽  
pp. e232304 ◽  
Author(s):  
Kishen Rajan Patel ◽  
Lennard YW Lee ◽  
Arvind Tripathy ◽  
David McKean
Keyword(s):  
Small Bowel ◽  
Bowel Perforation ◽  
Small Bowel Resection ◽  
Metastatic Lesion ◽  
Sudden Onset ◽  
Tumour Regression ◽  
Small Bowel Perforation ◽  
Potential Side Effect ◽  
Inflammatory Bowel ◽  
Rapid Tumour

A 56-year-old man undergoing immunotherapy treatment for metastatic melanoma presented with sudden onset testicular pain radiating into his abdomen. On examination, the abdomen was generally tender with associated guarding. Imaging revealed a perforation of the small bowel at the site of a metastatic lesion. Histology revealed that this process was non-inflammatory in nature. A diagnosis of small bowel perforation secondary to immunotherapy driven rapid tumour regression was made. The patient was treated with a small bowel resection plus anastomosis and made a full recovery. This case highlights the rare potential side effect of immunotherapy in causing non-inflammatory bowel perforations secondary to rapid tumour regression.

Abdominal Metastases from Lung Cancer Resulting in Small Bowel Perforation: Report of Three Cases

2006 ◽  
Vol 92 (2) ◽  
pp. 185-187 ◽  
Author(s):  
George Savanis ◽  
George Simatos ◽  
loanna Lekka ◽  
Shawki Ammari ◽  
Christophoros Tsikkinis ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Small Bowel ◽  
Bowel Perforation ◽  
Hepatic Metastases ◽  
Emergency Laparotomy ◽  
Metastatic Lung Cancer ◽  
Small Bowel Perforation ◽  
Macroscopic Appearance ◽  
Acute Complications ◽  
Metastatic Lung

Metastatic lung cancer to the small bowel is a rare occurrence. Acute complications such as perforation, hemorrhage and obstruction are even rarer. We present 3 cases of small bowel perforation from metastatic lung cancer. All 3 patients underwent emergency laparotomy. In 2 of them there was no obvious macroscopic appearance of metastatic disease either at the site of perforation or in any other area of the abdomen, whereas in the third patient there were hepatic metastases. The postoperative period was uneventful in all three cases. The longest survival was four months. Our cases bring the number of cases reported in the international literature to a total of 43.

scholarly journals A Bread Bag Clip causing Small Bowel Perforation diagnosed on Computed Tomography

2016 ◽  
Vol 5 (3) ◽  
pp. 169-171
Author(s):  
Charles Coventry ◽  
Peter Bautz
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Primary Anastomosis ◽  
Bowel Perforation ◽  
Small Bowel Resection ◽  
Preoperative Imaging ◽  
Small Bowel Perforation ◽  
Midline Laparotomy ◽  
Upper Gastrointestinal ◽  
Rare Situation

ABSTRACT Foreign body ingestion is common, and few result in complications. Plastic bread bag clips are an exception, however, and have been associated with small bowel perforation, upper gastrointestinal bleeding and even fatalities. An 85 year-old woman presented with abdominal pain. She was found to have tenderness on abdominal palpation. She underwent an abdominal CT scan, which demonstrated a plastic bread bag clip as the cause of a contained small bowel perforation. A midline laparotomy and small bowel resection with primary anastomosis was performed. Plastic bread bag clips are a rare cause of small bowel perforation. Elderly patients with dentures are at particular risk of ingesting such clips. This case report describes a rare situation where a clip is identified on preoperative imaging as the cause of a contained small bowel perforation. How to cite this article Coventry C, Bautz P. A Bread Bag Clip causing Small Bowel Perforation diagnosed on Computed Tomography. Panam J Trauma Crit Care Emerg Surg 2016;5(3):169-171.

scholarly journals Bowel obstruction and perforation secondary to barbed suture after minimally invasive inguinal hernia repair: report of two cases and literature review

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Liming Wang ◽  
Taku Maejima ◽  
Susumu Fukahori ◽  
Shoji Nishihara ◽  
Daitaro Yoshikawa ◽  
...  
Keyword(s):  
Small Intestine ◽  
Inguinal Hernia ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Bowel Perforation ◽  
Barbed Suture ◽  
Small Bowel Perforation ◽  
Peritoneal Closure ◽  
Pubmed Database

Abstract Background Laparoscopic transabdominal preperitoneal patch (TAPP) is now commonly used in the repair of inguinal hernia. Barbed suture can be a fast and effective method of peritoneal closure. We report two rare cases of small bowel obstruction and perforation caused by barbed suture after TAPP. Cases Patient 1 is a 45-year-old man who underwent laparoscopic repair of a right inguinal hernia. Barbed suture was used to close the peritoneal defect. At 47 days after the operation, he was diagnosed with a small bowel obstruction caused by an elongated tail of the barbed suture. Emergency laparoscopic exploration was performed for removal of the embedded suture and detorsion of the volvulus. The second patient is a 50-year-old man who was admitted with a small bowel perforation one week after TAPP herniorrhaphy. Emergency exploration revealed that the tail of the barbed suture had pierced the small intestine, causing a tiny perforation. After cutting and releasing the redundant tail of the barbed suture, the serosal and muscular defect was closed with 2 absorbable single-knot sutures. Both patients have recovered well. Finally, we searched the PubMed database and reviewed the literature on the effectiveness and safety of barbed suture for TAPP. Conclusions Surgeons should understand the characteristics of barbed suture and master the technique of peritoneum closure during TAPP in order to reduce the risk of bowel obstruction and perforation.

scholarly journals Parasitic leiomyoma causing small bowel perforation: A case report

2021 ◽  
pp. e00349
Author(s):  
Anya Laibangyang ◽  
Cassandra Law ◽  
Gunjan Gupta ◽  
Xiang Da Dong ◽  
Linus Chuang
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Bowel Perforation ◽  
Small Bowel Perforation

scholarly journals Small bowel perforation caused by an impacted endocapsule

Endoscopy ◽  
2008 ◽  
Vol 40 (S 02) ◽  
pp. E122-E123 ◽  
Author(s):  
S. Um ◽  
H. Poblete ◽  
J. Zavotsky
Keyword(s):  
Small Bowel ◽  
Bowel Perforation ◽  
Small Bowel Perforation
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