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Intestinal perforation by an ingested foreign body

OBJECTIVE: To identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body. MATERIALS AND METHODS: This was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with...

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Autores principales: Nicolodi, Gabriel Cleve, Trippia, Cesar Rodrigo, Caboclo, Maria Fernanda F. S., de Castro, Francisco Gomes, Miller, Wagner Peitl, de Lima, Raphael Rodrigues, Tazima, Leandro, Geraldo, Jamylle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Radiologia e Diagnóstico por Imagem 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5094817/
https://www.ncbi.nlm.nih.gov/pubmed/27818542
http://dx.doi.org/10.1590/0100-3984.2015.0127
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author Nicolodi, Gabriel Cleve
Trippia, Cesar Rodrigo
Caboclo, Maria Fernanda F. S.
de Castro, Francisco Gomes
Miller, Wagner Peitl
de Lima, Raphael Rodrigues
Tazima, Leandro
Geraldo, Jamylle
author_facet Nicolodi, Gabriel Cleve
Trippia, Cesar Rodrigo
Caboclo, Maria Fernanda F. S.
de Castro, Francisco Gomes
Miller, Wagner Peitl
de Lima, Raphael Rodrigues
Tazima, Leandro
Geraldo, Jamylle
author_sort Nicolodi, Gabriel Cleve
collection PubMed
description OBJECTIVE: To identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body. MATERIALS AND METHODS: This was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with those described in the literature. RESULTS: None of the patients reported having ingested a foreign body, all were over 60 years of age, three of the four patients used a dental prosthesis, and all of the foreign bodies were elongated and sharp. In all four patients, there were findings indicative of acute abdomen. None of the foreign bodies were identified on conventional X-rays. The computed tomography findings suggestive of perforation were thickening of the intestinal walls (in all four cases), increased density of mesenteric fat (in all four cases), identification of the foreign body passing through the intestinal wall (in three cases), and gas in the peritoneal cavity (in one case). CONCLUSION: In cases of foreign body ingestion, intestinal perforation is more common when the foreign body is elongated and sharp. Although patients typically do not report having ingested such foreign bodies, the scenario should be suspected in elderly individuals who use dental prostheses. A computed tomography scan can detect foreign bodies, locate perforations, and guide treatment. The findings that suggest perforation are thickening of the intestinal walls, increased mesenteric fat density, and, less frequently, gas in the peritoneal cavity, often restricted to the point of perforation.
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spelling pubmed-50948172016-11-04 Intestinal perforation by an ingested foreign body Nicolodi, Gabriel Cleve Trippia, Cesar Rodrigo Caboclo, Maria Fernanda F. S. de Castro, Francisco Gomes Miller, Wagner Peitl de Lima, Raphael Rodrigues Tazima, Leandro Geraldo, Jamylle Radiol Bras Original Articles OBJECTIVE: To identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body. MATERIALS AND METHODS: This was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with those described in the literature. RESULTS: None of the patients reported having ingested a foreign body, all were over 60 years of age, three of the four patients used a dental prosthesis, and all of the foreign bodies were elongated and sharp. In all four patients, there were findings indicative of acute abdomen. None of the foreign bodies were identified on conventional X-rays. The computed tomography findings suggestive of perforation were thickening of the intestinal walls (in all four cases), increased density of mesenteric fat (in all four cases), identification of the foreign body passing through the intestinal wall (in three cases), and gas in the peritoneal cavity (in one case). CONCLUSION: In cases of foreign body ingestion, intestinal perforation is more common when the foreign body is elongated and sharp. Although patients typically do not report having ingested such foreign bodies, the scenario should be suspected in elderly individuals who use dental prostheses. A computed tomography scan can detect foreign bodies, locate perforations, and guide treatment. The findings that suggest perforation are thickening of the intestinal walls, increased mesenteric fat density, and, less frequently, gas in the peritoneal cavity, often restricted to the point of perforation. Colégio Brasileiro de Radiologia e Diagnóstico por Imagem 2016 /pmc/articles/PMC5094817/ /pubmed/27818542 http://dx.doi.org/10.1590/0100-3984.2015.0127 Text en © Colégio Brasileiro de Radiologia e Diagnóstico por Imagem http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Nicolodi, Gabriel Cleve
Trippia, Cesar Rodrigo
Caboclo, Maria Fernanda F. S.
de Castro, Francisco Gomes
Miller, Wagner Peitl
de Lima, Raphael Rodrigues
Tazima, Leandro
Geraldo, Jamylle
Intestinal perforation by an ingested foreign body
title Intestinal perforation by an ingested foreign body
title_full Intestinal perforation by an ingested foreign body
title_fullStr Intestinal perforation by an ingested foreign body
title_full_unstemmed Intestinal perforation by an ingested foreign body
title_short Intestinal perforation by an ingested foreign body
title_sort intestinal perforation by an ingested foreign body
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5094817/
https://www.ncbi.nlm.nih.gov/pubmed/27818542
http://dx.doi.org/10.1590/0100-3984.2015.0127
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