scholarly journals A Curious Case of the Persistent Body Stuffer

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Muhammad Durrani ◽  
Carla Dugas ◽  
Samaresh Dasgupta
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Foreign Body ◽  
Outlet Obstruction ◽  
Oral Contrast ◽  
Foreign Body Removal ◽  
Plastic Bags ◽  
Small Leak ◽  
Body Stuffer

A 29-year-old male presented to our emergency department with complaint of abdominal pain after allegedly ingesting a 4-gram packet of heroin in an attempt to evade detection. Initial evaluation including computed tomography (CT) of the abdomen/pelvis with intravenous and oral contrast, as well as laboratory workup was negative and the patient was discharged. The patient returned 3 days later with complaint of “I feel high” and severe constipation, and demonstrated an opiate toxidrome requiring naloxone with improvement of symptoms. A repeat CT of the abdomen/pelvis, this time without contrast revealed a 2.1 × 1.8 cm foreign body in the gastric antrum. The patient was promptly taken to endoscopy with surgical backup. Foreign body removal included multiple plastic bags encasing heroin, which had sustained a small leak causing a gastric outlet obstruction as well as a slow opiate toxidrome. The foreign body was removed and the patient was observed and discharged with a favorable outcome.

scholarly journals Ingested Foreign Body Migration to the Liver: An Unusual Cause of Persistent Abdominal Pain in a 54-Year-Old Female

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Alan Lucerna ◽  
James Espinosa ◽  
Kelly Schuitema ◽  
Risha Hertz
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Foreign Body ◽  
Bone Fragment ◽  
Common Presentation ◽  
Persistent Abdominal Pain ◽  
Ingested Foreign Body ◽  
History Of ◽  
Small Bone

Abdominal pain is a common presentation in emergency medicine. We describe the case of a 54-year-old female who presented to the emergency department due to worsening abdominal pain. She had a history of right upper quadrant (RUQ) abdominal pain that had been ongoing for several months. The pain had been thought by the primary care team to be related to gastritis and she had been prescribed a proton pump inhibitor (PPI). Her abdominal pain increased in the three days prior to her presentation to the emergency department (ED). The computed tomography (CT) scan of the abdomen showed a foreign body (FB) in the liver which was successfully removed surgically. Pathology results showed that the FB was consistent with a small bone fragment. Ingestions of FB are common but seldom result in complications. When complications do arise, perforation of a hollow viscous is typically seen. Rarely, transmigration of the FB can occur.

scholarly journals Ileocecal Fistula Caused by Multiple Foreign Magnetic Bodies Ingestion

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Vittorio Cherchi ◽  
Gian Luigi Adani ◽  
Elda Righi ◽  
Umberto Baccarani ◽  
Giovanni Terrosu ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Foreign Body ◽  
Clinical Condition ◽  
Correct Diagnosis ◽  
Intestinal Wall ◽  
Accidental Ingestion ◽  
The Us ◽  
Manual Suture ◽  
One Year

The incidence of accidental foreign body (FBs) ingestion is 100,000 cases/year in the US, with over than 80% of cases occurring in children below 5 years of age. Although a single FB may pass spontaneously and uneventfully through the digestive tract, the ingestion of multiple magnetics can cause serious morbidity due to proximate attraction through the intestinal wall. Morbidity and mortality depend on a prompt and correct diagnosis which is often difficult and delayed due to the patient's age and because the accidental ingestion may go unnoticed. We report our experience in the treatment of an 11-year-old child who presented to the emergency department with increasing abdominal pain, vomiting, diarrhea, and fever. Surgery evidenced an ileocecal fistula secondary to multiple magnetic FB ingestion with attraction by both sides of the intestinal wall. A 5-centimeter ileal resection was performed, and the cecal fistula was closed with a longitudinal manual suture. The child was discharged at postoperative day 8. After one year, the patient’s clinical condition was good.

scholarly journals Gastric lipoma: a rare cause of haematemesis

2018 ◽  
Vol 100 (3) ◽  
pp. e41-e43 ◽  
Author(s):  
B Krishnaraj ◽  
B Dhanapal ◽  
G Shankar ◽  
SC Sistla ◽  
I Galidevara ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Malignant Transformation ◽  
Preoperative Diagnosis ◽  
Outlet Obstruction ◽  
Gastric Neoplasms ◽  
Accurate Preoperative Diagnosis ◽  
Benign Tumours ◽  
Gastric Lipoma ◽  
Extensive Surgery

Gastric lipomas are rare benign tumours of the stomach, representing less than 3% of all benign gastric neoplasms. They are usually asymptomatic but larger lesions can present with abdominal pain, gastric outlet obstruction and haematemesis. Malignant transformation is extremely rare. Accurate preoperative diagnosis can be established with computed tomography. Being benign, extensive surgery is not necessary and simple excision of the lesion is adequate. Small asymptomatic lesions can be followed up. We present a case of 80-year-old woman with gastric submucosal lipoma who presented with haematemesis.

scholarly journals Giant splenic abscess caused by Salmonella enterica

2021 ◽  
Author(s):  
Francesk Mulita ◽  
Elias Liolis ◽  
Levan Tchabashvili ◽  
Fotis Iliopoulos ◽  
Nikolas Drakos ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Salmonella Enterica ◽  
Splenic Abscess ◽  
Percutaneous Aspiration ◽  
Abdominal Computed Tomography ◽  
Considerable Size ◽  
Large Abscess

A 14-year-old boy presented to our Emergency Department complaining of fever, and abdominal pain. An abdominal computed tomography showed a large abscess of the spleen. Percutaneous aspiration of the lesion was performed. Splenectomy was performed 38 days after percutaneous aspiration because of the abscess’s considerable size.

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