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Ongoing Computed Tomography Appraisal of Intestinal Perforation Due to an Ingested Foreign Body

Patient: Female, 73 Final Diagnosis: Ileal perforation due to the ingestion of a foreign body Symptoms: Abdominal discomfort • nausea • vomiting Medication: — Clinical Procedure: CT-scan Specialty: Radiology OBJECTIVE: Unusual clinical course BACKGROUND: Diagnosis and management of accidental or int...

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Autores principales: Cicero, Giuseppe, Caloggero, Simona, Cavallaro, Marco, Frosina, Luciano, Visalli, Carmela, Ascenti, Velio, Blandino, Alfredo, Mazziotti, Silvio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6509967/
https://www.ncbi.nlm.nih.gov/pubmed/31043580
http://dx.doi.org/10.12659/AJCR.915290
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author Cicero, Giuseppe
Caloggero, Simona
Cavallaro, Marco
Frosina, Luciano
Visalli, Carmela
Ascenti, Velio
Blandino, Alfredo
Mazziotti, Silvio
author_facet Cicero, Giuseppe
Caloggero, Simona
Cavallaro, Marco
Frosina, Luciano
Visalli, Carmela
Ascenti, Velio
Blandino, Alfredo
Mazziotti, Silvio
author_sort Cicero, Giuseppe
collection PubMed
description Patient: Female, 73 Final Diagnosis: Ileal perforation due to the ingestion of a foreign body Symptoms: Abdominal discomfort • nausea • vomiting Medication: — Clinical Procedure: CT-scan Specialty: Radiology OBJECTIVE: Unusual clinical course BACKGROUND: Diagnosis and management of accidental or intentional ingestion of foreign bodies is a common problem at in emergency departments. This condition is generally observed in patients with limited consciousness or attention, such as children, elders, or psychiatric patients. Here, we report a case of intestinal perforation caused by ingestion of a foreign body that occurred during the performance of a contrast-enhanced CT scan. CASE REPORT: A 73-year-old diabetic woman was admitted to the emergency room of our hospital with postprandial abdominal discomfort, nausea, and vomiting. Under the suspicion of bowel ischemia, the patient underwent a contrast-enhanced CT scan. A thickened ileal loop with an endoluminal bone-density foreign body was detected. The following contrast-enhanced acquisitions additionally showed air bubbles adjacent to the loop, as the sign of an intestinal perforation that occurred between the basal and the contrast-enhanced acquisitions. CONCLUSIONS: Caution should be always exercised in patients with suspected gastrointestinal perforation, especially if caused by ingested foreign bodies. A high degree of suspicion and a CT scan may prevent delays in the diagnosis and clinical management of these patients.
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spelling pubmed-65099672019-05-22 Ongoing Computed Tomography Appraisal of Intestinal Perforation Due to an Ingested Foreign Body Cicero, Giuseppe Caloggero, Simona Cavallaro, Marco Frosina, Luciano Visalli, Carmela Ascenti, Velio Blandino, Alfredo Mazziotti, Silvio Am J Case Rep Articles Patient: Female, 73 Final Diagnosis: Ileal perforation due to the ingestion of a foreign body Symptoms: Abdominal discomfort • nausea • vomiting Medication: — Clinical Procedure: CT-scan Specialty: Radiology OBJECTIVE: Unusual clinical course BACKGROUND: Diagnosis and management of accidental or intentional ingestion of foreign bodies is a common problem at in emergency departments. This condition is generally observed in patients with limited consciousness or attention, such as children, elders, or psychiatric patients. Here, we report a case of intestinal perforation caused by ingestion of a foreign body that occurred during the performance of a contrast-enhanced CT scan. CASE REPORT: A 73-year-old diabetic woman was admitted to the emergency room of our hospital with postprandial abdominal discomfort, nausea, and vomiting. Under the suspicion of bowel ischemia, the patient underwent a contrast-enhanced CT scan. A thickened ileal loop with an endoluminal bone-density foreign body was detected. The following contrast-enhanced acquisitions additionally showed air bubbles adjacent to the loop, as the sign of an intestinal perforation that occurred between the basal and the contrast-enhanced acquisitions. CONCLUSIONS: Caution should be always exercised in patients with suspected gastrointestinal perforation, especially if caused by ingested foreign bodies. A high degree of suspicion and a CT scan may prevent delays in the diagnosis and clinical management of these patients. International Scientific Literature, Inc. 2019-05-02 /pmc/articles/PMC6509967/ /pubmed/31043580 http://dx.doi.org/10.12659/AJCR.915290 Text en © Am J Case Rep, 2019 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Cicero, Giuseppe
Caloggero, Simona
Cavallaro, Marco
Frosina, Luciano
Visalli, Carmela
Ascenti, Velio
Blandino, Alfredo
Mazziotti, Silvio
Ongoing Computed Tomography Appraisal of Intestinal Perforation Due to an Ingested Foreign Body
title Ongoing Computed Tomography Appraisal of Intestinal Perforation Due to an Ingested Foreign Body
title_full Ongoing Computed Tomography Appraisal of Intestinal Perforation Due to an Ingested Foreign Body
title_fullStr Ongoing Computed Tomography Appraisal of Intestinal Perforation Due to an Ingested Foreign Body
title_full_unstemmed Ongoing Computed Tomography Appraisal of Intestinal Perforation Due to an Ingested Foreign Body
title_short Ongoing Computed Tomography Appraisal of Intestinal Perforation Due to an Ingested Foreign Body
title_sort ongoing computed tomography appraisal of intestinal perforation due to an ingested foreign body
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6509967/
https://www.ncbi.nlm.nih.gov/pubmed/31043580
http://dx.doi.org/10.12659/AJCR.915290
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