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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2019
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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. |
format | Online Article Text |
id | pubmed-6509967 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
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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