Intestinal Perforation by Foreign Bodies

Two dogs that had ingested foreign bodies were presented with vomiting. The foreign bodies appeared as metal and dense on abdominal radiographs. Abdominal exploratory identified intestinal perforation in one case and gastrointestinal tissue trapped between the two foreign bodies adhered to each other in the second case. The foreign bodies were identified as magnets in one case and magnets and other metallic foreign bodies in the second case. Both dogs had excellent outcomes following surgical intervention. These cases demonstrate the danger of tissue entrapment between the foreign bodies as a result of the magnetic attraction between two objects. Dogs that are presented with a history of or are suspect for ingesting multiple magnets or a magnet and metal foreign bodies should be treated with surgical intervention because of the risk of gastrointestinal perforation as a result of magnetic attraction between the foreign bodies.

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Potentially harmful materials in the feces of wild ring-tailed coatis (Nasua nasua) and health implications

Ciência Rural ◽

10.1590/0103-8478cr20210108 ◽

2022 ◽

Vol 52 (2) ◽

Author(s):

Delma Henriques Domiciano Rodrigues ◽

Vanner Boere ◽

Clarice Silva Cesario ◽

Waldomiro de Paula Lopes ◽

Alexandre Bartoli Monteiro ◽

...

Keyword(s):

At Risk ◽

Weight Loss ◽

Environmental Education ◽

Intestinal Perforation ◽

Foreign Bodies ◽

Health Implications ◽

Nasua Nasua ◽

Perforation Peritonitis ◽

First Time ◽

Clinical Problems

ABSTRACT: In ecological parks, the proximity to tourist activities facilitates the exploration of garbage by coatis, with possible serious consequences for the animals health . We described the contents of wild coatis feces from three ecological parks. After analyzing 62 samples, fragments of plants and animals were identified in all feces. In the feces of two parks, seeds were present between 36.4% and 48.6% of the samples. Arthropod fragments were identified in 100% of the samples from two parks, but only 87.3% in a third park. Scales, bones or bird feathers were present in some samples. Undigested material of industrial origin was detected in 34.3% to 54.5% of the samples, such as fragments of paper, string, plastic, aluminum, latex and glass. Results are in line with other studies on the diet of wild coatis, but the intake of foreign bodies, potentially harmful to health, is described for the first time. Clinical problems resulting from ingesting waste can be dental fractures, mucosal erosions, intestinal perforation, peritonitis, impaction, diarrhea, weight loss, intoxication and infections. Coatis in the three parks are at risk of health, and actions are needed to avoid clinical and potentially fatal problems. Four actions are recommended to avoid ingesting foreign bodies: increasing the environmental education of visitors; improving the storage of waste generated in parks; periodically monitor the health of coatis, in order to make interventions when possible; make a permanent program to study the ecology of species in the three parks.

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Clinical characteristics of magnetic foreign body misingestion in children

Scientific Reports ◽

10.1038/s41598-021-96595-y ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Yu Kun Huang ◽

Shao Xian Hong ◽

I. Hsin Tai ◽

Kai Sheng Hsieh

Keyword(s):

Laparoscopic Surgery ◽

Foreign Body ◽

Rural Areas ◽

Intestinal Perforation ◽

Foreign Bodies ◽

Magnetic Beads ◽

Abdominal Sonography ◽

Mortality And Morbidity ◽

Magnetic Foreign Body ◽

Urban And Rural Areas

AbstractMagnetic foreign body misingestion (MFBM) is now occurring more frequently. It may cause remarkable mortality and morbidity in children. A retrospective analysis of the clinical data of children admitted to Xiamen Children’s Hospital between March 2017 and July 2020 due to accidental MFBM. A total of 14 children who had MFBM were collected, the proportion between urban and rural areas was 8:6, and the ratio of male to female was 6:1. The age ranged from 1.2 to 8.9 years (median 4.6 years). The number of magnetic foreign bodies ingested by mistake is 1 to 17 (average 6.5). Magnetic foreign objects are divided into magnets (3 cases) + magnetic beads (11 cases). About 40% (5/14) of this patient series showed no available misingestion history. Management includes: 4 cases of open surgery (including 1 case of laparoscopic transfer to operation), 3 cases of laparoscopic surgery, 2 cases of gastroscopy, 5 cases of conservative treatment of foreign bodies discharged through the anus. Of the 7 surgical cases, 6 cases presented with intestinal obstruction and intestinal perforation (at least 1 intestinal perforation and at most 5). Abdominal sonography has limitations in the detection of magnetic foreign bodies in the digestive tract. The proportion of laparoscopic surgery in the 7 surgical cases is nearly half. All surgical cases recovered smoothly after treatment. Our experience shows that MFBM is a big issue for the small children! The early symptoms of MFBM are often atypical especially among young children and MFBM may lead to severe adverse events. We proposed a management strategy for MFBM in children. We advise pediatricians/emergency physicians, parents/children’s guardians and society should raise the collaborated alertness of MFBM. Global awareness of risk prevention of magnetic material accidental ingestion cannot be overemphasized.

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Intestinal perforation by ingested foreign bodies

International Surgery ◽

10.9738/intsurg-d-15-00303.1 ◽

2017 ◽

Author(s):

Xinping Li ◽

Bujun Ge ◽

Hongmei Zhao ◽

Wei Jin ◽

Daojing Huang ◽

...

Keyword(s):

Foreign Body ◽

Intestinal Perforation ◽

Foreign Bodies ◽

Bowel Perforation ◽

Optimal Choice ◽

Diagnosis And Treatment ◽

Foreign Body Ingestion ◽

X Ray ◽

Common Location ◽

Background Data

Abstract Objective The aim of our manuscript is to study the incidence, diagnosis, and treatment of bowel perforation by foreign body ingestion. Summary of Background Data Bowel perforation, by foreign body ingestion, has been believed to be relatively rare, and most commonly caused by fish bones, chicken bones, and toothpicks. Our clinical experience,however, suggests such perforations may be more common than previously thought, and caused by various other objects as well. Methods Medical records of all patients diagnosed with foreign body-induced intestinal perforation, from the Department of General Surgery at Shanghai Tongji Hospital, from January 2000 to June 2015, were retrospectively analyzed. Results Among the 25 total patients, 4 ingested foreign bodies intentionally, while the other 21 cases were accidental.The foreign bodies were identified by plain X-ray film in 2 patients and by multidetector computed tomography (MDCT) in 11 patients, thus supporting the correct preoperative diagnosis (13 cases, 52%). The most common location of the perforation was the terminal ileum (n = 17).The offending objects were date stones (n=13), bones(n=7), and metallic objects (n=5). The most common treatment was removal ofthe foreign body and closure of the perforation with simple suture(n=22). Ten patients were treated laparoscopically. Conclusion The present study shows that the most common foreign bodies causing intestinal perforation are date stones and bones. Although about 50 percent of the foreign bodies could be identified by MDCT, definite diagnosis remained preoperatively difficult. Laparoscopy may be the optimal choice for diagnosis and treatment of bowel perforation by foreign bodies.

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Intestinal perforation by an ingested foreign body

Radiologia Brasileira ◽

10.1590/0100-3984.2015.0127 ◽

2016 ◽

Vol 49 (5) ◽

pp. 295-299 ◽

Cited By ~ 9

Author(s):

Gabriel Cleve Nicolodi ◽

Cesar Rodrigo Trippia ◽

Maria Fernanda F. S. Caboclo ◽

Francisco Gomes de Castro ◽

Wagner Peitl Miller ◽

...

Keyword(s):

Computed Tomography ◽

Foreign Body ◽

Peritoneal Cavity ◽

Intestinal Perforation ◽

Foreign Bodies ◽

Intestinal Wall ◽

X Rays ◽

Dental Prostheses ◽

Mesenteric Fat ◽

Ingested Foreign Body

Abstract 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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Clinical Characteristics of Magnetic Foreign Body Mis-ingestion in Children—A Big Issue for Small Children

10.21203/rs.3.rs-251786/v1 ◽

2021 ◽

Author(s):

Yu Kun Huang ◽

Shao Xian Hong ◽

I Hsin Tai ◽

Kai Sheng Hsieh

Keyword(s):

Laparoscopic Surgery ◽

Foreign Body ◽

Rural Areas ◽

Intestinal Perforation ◽

Foreign Bodies ◽

Magnetic Beads ◽

Abdominal Sonography ◽

Small Children ◽

Mortality And Morbidity ◽

Magnetic Foreign Body

Abstract Objective: Magnetic foreign body mis-ingestion (MFBM) is now occurring more frequently. it may cause remarkable mortality and morbidity in children. Methods: A retrospective analysis of the clinical data of children admitted to Xiamen Children's Hospital between March 2017 and July 2020 due to accidental MFBM. Results: A total of 14 children who had MFBM were collected, the proportion between urban and rural areas was 8:6, and the ratio of male to female was 6:1. The age ranged from 1.2 to 8.9 years (median 4.6 years). The number of magnetic foreign bodies ingested by mistake is 1 to 17 (average 6.5)。Magnetic foreign objects are divided into magnet (3 cases) + magnetic beads (11 cases). About 40%（5/14）of this patient series showed no available mis-ingestion history. Management includes: 4 cases of open surgery (including 1 case of laparoscopic transfer to operation), 3 cases of laparoscopic surgery, 2 cases of gastroscopy, 5 cases of conservative treatment of foreign bodies discharged through the anus. Of the 7 surgical cases, 6 cases presented with intestinal obstruction and intestinal perforation (at least 1 intestinal perforation and at most 5). Abdominal sonography has limitations in the detection of magnetic foreign bodies in the digestive tract. The proportion of laparoscopic surgery in the 7 surgical cases is nearly half. All surgical cases recovered smoothly after treatment.Conclusions: Our experience shows that MFBM is a big issue for the small children! The early symptoms of MFBM are often atypical especially among young children and MFBM may lead to severe adverse events. We proposed a management strategy for MFBM in children. We advise pediatricians/emergency physicians, parents/children’s guardians and society should raise the collaborated alertness of MFBM. Global awareness of risk prevention of magnetic material accidental ingestion cannot be overemphasized.

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