Perforation due to Foreign Body in Incarcerated Incisional Hernia


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Kılıç E., Güler S. A. , Kiy C., Şimşek T., Utkan N. Z.

Causapedia, vol.9, no.1, pp.24-27, 2020 (Peer-Reviewed Journal)

  • Publication Type: Article / Case Report
  • Volume: 9 Issue: 1
  • Publication Date: 2020
  • Journal Name: Causapedia
  • Journal Indexes: TR DİZİN (ULAKBİM)
  • Page Numbers: pp.24-27
  • Kocaeli University Affiliated: Yes

Abstract

Perforation of the gastrointestinal tract due to ingested foreign bodies may manifest itself with different clinical signs or symptoms and correct diagnosis is rarely performed before the operation. In our case, we detected a perforation due to foreign body (chicken bone) without strangulation in a patient who was operated with the preliminary diagnosis of small intestinal perforation secondary to incisional hernia. It should be kept in mind that a possible foreign body inside the incarcerated bowel segment can cause ulceration and perforation in the bowel wall if it cannot progress due to the angulation occurring in the tract. The computed tomography scans of the patients should be interpreted with caution since there may be a foreign body within the herniated area.

A large proportion of ingested impurities are usually excreted out of the gastrointestinal tract spontaneously without causing any problems. Small bowel perforation due to foreign bodies is a rare clinical finding and occurs in less than 1% of patients 1.As swallowing a foreign body is often accidental, it is difficult to diagnose. Intentionally swallowing a foreign body is more frequently seen in psychiatric patients 2. However, in a small proportion of patients who ingest foreign bodies, complications such as perforation or ileus due to impaction may develop 3,4. A 65-year-old male patient with incarceration due to the intestinal perforation who was operated with the diagnosis of aforeignbody attachment  (chicken bone) without strangulation is presented.