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Foreign Body Penetration through Jejunal Loops Causing Renal Artery Thrombosis and Renal Infarct

Foreign body ingestion is common, although perforation after ingestion is rare. We report a case of an ingested sharp wooden stick that perforated the proximal jejunum toward the renal vasculature, causing segmental renal artery thrombosis and renal infarct. The patient presented with severe abdomin...

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Detalles Bibliográficos
Autores principales: Nassani, Najib, El-Charabaty, Elie, Nasr, Patricia, Barakat, Iskandar, Andrawes, Sherif
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Gastroenterology 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5247630/
https://www.ncbi.nlm.nih.gov/pubmed/28144617
http://dx.doi.org/10.14309/crj.2017.12
Descripción
Sumario:Foreign body ingestion is common, although perforation after ingestion is rare. We report a case of an ingested sharp wooden stick that perforated the proximal jejunum toward the renal vasculature, causing segmental renal artery thrombosis and renal infarct. The patient presented with severe abdominal pain and vomiting. A computed tomography scan revealed a linear opacity corresponding to the foreign body. The wooden stick was removed endoscopically through deep-push enteroscopy with a rat-tooth forceps. We report this unique case of perforation by a foreign body through the proximal jejunum to the left kidney, which was managed endoscopically.