Cargando…
Gastrointestinal bleeding as a result of entero-iliac fistula due to intestinal foreign body
Ingested toothpicks are a relatively rare event, but they may cause serious gut injuries and can be listed among rare causes of perforation, peritonitis, sepsis or death. Unless the foreign bodies were intentionally swallowed, many patients who ingested them fail to remember the event and they do no...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7149406/ https://www.ncbi.nlm.nih.gov/pubmed/32292584 http://dx.doi.org/10.1016/j.amsu.2020.03.004 |
_version_ | 1783520804023042048 |
---|---|
author | Valiyeva, Sayali Romano, Lucia Maffione, Francesco Leopardi, Marco Giordano, Aldo Victor Lombardi, Loreto Schietroma, Mario Carlei, Francesco Giuliani, Antonio |
author_facet | Valiyeva, Sayali Romano, Lucia Maffione, Francesco Leopardi, Marco Giordano, Aldo Victor Lombardi, Loreto Schietroma, Mario Carlei, Francesco Giuliani, Antonio |
author_sort | Valiyeva, Sayali |
collection | PubMed |
description | Ingested toothpicks are a relatively rare event, but they may cause serious gut injuries and can be listed among rare causes of perforation, peritonitis, sepsis or death. Unless the foreign bodies were intentionally swallowed, many patients who ingested them fail to remember the event and they do not refer it during the medical history collection; this makes diagnosis problematic. In this work, a case of perforation of the sigmoid colon is described, caused by a toothpick ingestion. The patient had to be surgically treated because of a complication: the formation of an entero-iliac fistula with subsequent development of a pseudoaneurysm of the right external iliac artery. Vascular perforation due to toothpick ingestion has rarely been reported. In similar cases, it could be difficult to establishing the correct diagnosis because of the low sensitivity and accuracy rates of diagnostic investigations. The ingestion of foreign bodies should be kept in mind as an important differential diagnosis in patients with acute abdomen or chronic abdominal pain of unknown origin. |
format | Online Article Text |
id | pubmed-7149406 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-71494062020-04-14 Gastrointestinal bleeding as a result of entero-iliac fistula due to intestinal foreign body Valiyeva, Sayali Romano, Lucia Maffione, Francesco Leopardi, Marco Giordano, Aldo Victor Lombardi, Loreto Schietroma, Mario Carlei, Francesco Giuliani, Antonio Ann Med Surg (Lond) Case Report Ingested toothpicks are a relatively rare event, but they may cause serious gut injuries and can be listed among rare causes of perforation, peritonitis, sepsis or death. Unless the foreign bodies were intentionally swallowed, many patients who ingested them fail to remember the event and they do not refer it during the medical history collection; this makes diagnosis problematic. In this work, a case of perforation of the sigmoid colon is described, caused by a toothpick ingestion. The patient had to be surgically treated because of a complication: the formation of an entero-iliac fistula with subsequent development of a pseudoaneurysm of the right external iliac artery. Vascular perforation due to toothpick ingestion has rarely been reported. In similar cases, it could be difficult to establishing the correct diagnosis because of the low sensitivity and accuracy rates of diagnostic investigations. The ingestion of foreign bodies should be kept in mind as an important differential diagnosis in patients with acute abdomen or chronic abdominal pain of unknown origin. Elsevier 2020-04-01 /pmc/articles/PMC7149406/ /pubmed/32292584 http://dx.doi.org/10.1016/j.amsu.2020.03.004 Text en © 2020 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Valiyeva, Sayali Romano, Lucia Maffione, Francesco Leopardi, Marco Giordano, Aldo Victor Lombardi, Loreto Schietroma, Mario Carlei, Francesco Giuliani, Antonio Gastrointestinal bleeding as a result of entero-iliac fistula due to intestinal foreign body |
title | Gastrointestinal bleeding as a result of entero-iliac fistula due to intestinal foreign body |
title_full | Gastrointestinal bleeding as a result of entero-iliac fistula due to intestinal foreign body |
title_fullStr | Gastrointestinal bleeding as a result of entero-iliac fistula due to intestinal foreign body |
title_full_unstemmed | Gastrointestinal bleeding as a result of entero-iliac fistula due to intestinal foreign body |
title_short | Gastrointestinal bleeding as a result of entero-iliac fistula due to intestinal foreign body |
title_sort | gastrointestinal bleeding as a result of entero-iliac fistula due to intestinal foreign body |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7149406/ https://www.ncbi.nlm.nih.gov/pubmed/32292584 http://dx.doi.org/10.1016/j.amsu.2020.03.004 |
work_keys_str_mv | AT valiyevasayali gastrointestinalbleedingasaresultofenteroiliacfistuladuetointestinalforeignbody AT romanolucia gastrointestinalbleedingasaresultofenteroiliacfistuladuetointestinalforeignbody AT maffionefrancesco gastrointestinalbleedingasaresultofenteroiliacfistuladuetointestinalforeignbody AT leopardimarco gastrointestinalbleedingasaresultofenteroiliacfistuladuetointestinalforeignbody AT giordanoaldovictor gastrointestinalbleedingasaresultofenteroiliacfistuladuetointestinalforeignbody AT lombardiloreto gastrointestinalbleedingasaresultofenteroiliacfistuladuetointestinalforeignbody AT schietromamario gastrointestinalbleedingasaresultofenteroiliacfistuladuetointestinalforeignbody AT carleifrancesco gastrointestinalbleedingasaresultofenteroiliacfistuladuetointestinalforeignbody AT giulianiantonio gastrointestinalbleedingasaresultofenteroiliacfistuladuetointestinalforeignbody |