scholarly journals On the question of foreign bodies of the abdominal cavity

2021 ◽  
Vol 27 (8) ◽  
pp. 908-908
Author(s):  
B. Kulikov

On January 13, 1931, Melania, A-va, 39 years old, was admitted to the Bolotov Soviet Hospital with complaints of pain and swelling in the epigastric region.

1986 ◽  
Vol 67 (3) ◽  
pp. 176-178
Author(s):  
N. G. Gataullin ◽  
A. F. Vlasov

We studied case histories of 125 patients with various foreign bodies in the abdominal cavity left during surgeries according to materials from the Bashkir ASSR from 1938 to 1981. 88 patients had foreign bodies extracted during repeated surgeries, 11 patients - through a wound or a fistula at bandages, 21 patients - at autopsy. In 5 patients gauze foreign bodies due to bedsores penetrated from the abdominal cavity into the intestinal lumen and came out during defecation.


2004 ◽  
Vol 53 (4) ◽  
pp. 86-88
Author(s):  
V. М. Subbotin ◽  
М. I. Davidov

2 rare cases of intrauterine contraception are presented. A 53-year old female patient had been having a Lippas intrauterine contraception device (IUCD) in the abdominal cavity for 19 years before it was occasionally revealed on cholecystectomy. The next female patient who had had a T-type IUCD for 6 years developed trophic changes of the uterine wall followed by the migration and penetration of IUCD into the wall and then the urine bladder cavity. Laparotomy and cystotomy with the evacuation of the foreign body and dissection of the walls of cystouterine fistular were performed. Both patients made a complete recovery.


2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Sajid Hameed Dar ◽  
Naeem Liaqat ◽  
Javaid Iqbal ◽  
Tariq Latif ◽  
Asif Iqbal

We present a case of heteropagus twins attached to the epigastric region. The neonate also had ruptured giant omphalocoele with most of gut and liver lying outside the abdominal cavity. Patient had uneventful surgery for separation of twins and repair of ruptured omphalocoele.


2018 ◽  
Vol 35 (4) ◽  
pp. 20-25 ◽  
Author(s):  
M. I. Davidov ◽  
V. M. Subbotin ◽  
O. E. Nikonova

Aim. To study the clinical problems and develop the symptomatology of the foreign bodies (FB) of the gastrointestinal tract (GIT). Materials and methods. Ninety patients with GIT foreign bodies were observed over the period from 1997 to 2017. To diagnose, a complex of endoscopic and radial methods was used. Localization, size and type of the detected foreign bodies were compared with the symptoms revealed. Results. Fifty patients intentionally swallowed foreign bodies, 40 – accidentally. Altogether, 90 patients swallowed 193 items (nails, needles, pieces of wire etc.). On the basis of the study, three forms of clinical course regarding the swallowed GIT FB were singled out: latent, manifest and complicated. The pathognomonic symptoms of GIT FB are “migrant” abdominal pains associated with migration of FB along the GIT lumen, intensification of pains while moving, exercise stress and palpation, feeling of “heaviness” in epigastric region. Multiple gastric FB cause the auscultative symptom of “ringing”. Pains, available with GIT FB, are not connected with taking food and are not ceased after taking antacids. Conclusions. Introduction of the developed GIT FB symptomatology into healthcare practice and training of physicians will contribute to earlier and more accurate diagnosis.


2019 ◽  
Vol XXIV (141) ◽  
pp. 40-48
Author(s):  
Ana Paula F. R. Loureiro ◽  
Raquel C. S. Siqueira ◽  
Andrei Kelliton Fabretti ◽  
Victor Furlan ◽  
Winni Alves Ladeia ◽  
...  

Pyothorax is the accumulation of exudade in the pleural cavity. Affected patients are often presented with acute dyspnea. We report a case of pyothorax associated with the presence of a bone fragment in the lower respiratory tract of an adult domestic cat. We presume that the bone fragment reached the respiratory tract by either aspiration or migration from the abdominal cavity. The patient presented abdominal distension and acute dyspnea. Bloodwork revealed neutrophilic leukocytosis with left shift and lymphocytosis. Thoracic fluid analysis confirmed septic exudate. The patient was unresponsive to the treatment and died within 24 hours of admission. Necropsy revealed the presence of a bone fragment in the lower respiratory tract. We suggest that foreign bodies should be considered as a rule-out cause of pyothorax and sepsis in domestic cats.


2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Boyodi Tchangai ◽  
Fousseni Alassani ◽  
Mazamesso Tchaou

Surgical sponges are the most common retained foreign bodies following surgery. The morbidity of this condition is illustrated herein with the case of a 36-year-old female patient with a history of myomectomy 5 months before her admission into our unit for enterocutaneous fistula. Although imaging and etiological investigations were made, diagnosis was carried out only by laparotomy. The foreign body found was an abdominal swab that migrated from abdominal cavity to the colon causing several intestinal injuries. The lack of specific clinical signs and the death of the patient raise the necessity of preventing these complications that involve the surgeon liability.


1929 ◽  
Vol 25 (2) ◽  
pp. 231-231
Author(s):  
I. Tsimkhes

Dr. W. Frster (Zentralbl. F. Chirurg, no. 49, 1928) from I / X 1918. no 30 / IX 1928 performed 1,053 operations on the cecum. Of these, in 851 cases. for acute inflammation and 202 cases. in chronic and complicated processes. The severity of the case was controlled by the leukocyte count. Mortality was observed in 18 cases, that is, in 1.7%. Of these, in 2 mild cases due to tuberculosis and cardiac weakness, and the other - embolism. In the remaining 16 cases, death occurred due to the presence of peritonitis, intestinal paralysis, obstruction and other complications during the operation. In 149 cases, a cloudy purulent exudate was found. In 68 cases. deposition of pus and inflammation of the intestine, the author lists these cases as peritonitis. In 343 cases. worms were found, 45 of them freely perforated into the abdominal cavity. The appendix contained 126 times fecal stones, 13 times small foreign bodies, 96 - worms. In 116 cases. the abdominal cavity was drained, in the rest it was closed tightly. In drained cases, mortality is 8. Postoperative management of patients: in mild cases, they get up after 3 days and are discharged home after 7 days. In severe cases, the fight against intoxication, intestinal paresis and heart weakness was carried out by intravenous administration of sugar with hypophysin, Cardiozol, etc. From the onset of the attack to the moment of the operation, it took up to 5.1 days. The author ascribes the main merit of good results to referring doctors, and if the population is more attentive to themselves and more often see a doctor, the statistics will improve significantly.


2021 ◽  
Vol 13 (3) ◽  
pp. 135-142
Author(s):  
D. V. Plotkin ◽  
M. N. Reshetnikov ◽  
M. V. Sinitsyn ◽  
Yu. R. Zyuzya

Primary (hematogenic) peritonitis caused by non-tuberculosis mycobacteria is extremely rare in the clinical practice. The main number of reported episodes of primary intraabdominal infection is associated with M. tuberculosis and the development of granulomatous inflammation of the peritoneum visually similar to carcinomatosis. The vast majority of reports of peritonitis associated with non-tuberculosis mycobacteria are interlinked with chronic peritoneal dialysis or foreign bodies of the abdominal cavity, when an infection is carried out by the contact through a dialysis catheter, prosthesis or a gastric banding device. The article describes a clinical case of peritonitis and splenitis caused by M. avium with hematogenic spread of infection from the primary pulmonary focus in a young patient with immunosuppression. Diagnosis of such peritonitis at the preoperative stage is extremely difficult due to the similarity of symptoms with atypical appendicitis or infected ascites. The intraoperative picture also did not allow us to assume a mycobacterial etiology of the process, and the absence of a focal point of peritonitis made it necessary to thoroughly understand the situation. Only a peritoneal biopsy and a complete laboratory examination of exudate allowed us to verify the diagnosis, to understand the pathogenetic mechanisms of the disease and to start a timely etiotropic therapy.


2020 ◽  
Vol 10 (3) ◽  
pp. 228-232
Author(s):  
M. R. Garaev ◽  
M. Yu. Vorotnikov ◽  
Z. R. Garayeva ◽  
M. A. Nartaylakov

Introduction. Stomach perforations caused by ingested foreign bodies are extremely rare injuries in adults, accounting for less than 1% of all gastrointestinal perforations. The clinical picture is diverse and often presents a diagnostic problem. There are few publications reporting such cases in literature.Materials and methods. Using the example of a clinical case, this paper describes the clinical picture, diagnostic role of X-ray instruments and surgical tactics of diagnosing and treating a stomach perforation concealed by a foreign object, which occurred one week prior to admission. The patient V., 52 yo, was admitted to hospital on an emergency basis in the condition of moderate severity, complaining of abdominal pain for two days. The onset of the disease had no apparent reason. Similar pains had bothered the patient a week earlier the incident but were relieved without treatment.Results and discussion. On the basis of clinical and laboratory-instrumental data, acute pancreatitis was pre-diagnosed. Conservative drug therapy with positive dynamics was started. Two days later, computed tomography of the abdominal organs with intravenous bolus contrast was performed. According to the CT data, a foreign body in the abdominal cavity was identified, which rested on the liver at the level of the gallbladder, perforating the wall of the pyloric department of the stomach. Localized inflammatory effusion in the abdominal fat was observed. The patient was operated and discharged in satisfactory condition.Conclusion. Stomach perforations caused by small-sized foreign bodies are characterized by non-specific clinical manifestations. The use of radiation diagnostic methods facilitates the timely diagnosis and therapy choice in patients with stomach perforations caused by small-sized foreign bodies. 


2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Ranjeet Brar ◽  
Sudeendra Doddi ◽  
Anand Ramasamy ◽  
Prakash Sinha

The incidence of transuterine perforation and migration of intrauterine contraceptive devices (IUCDs) into the abdominal cavity has been estimated at less than 0.1%. It has been suggested that intraperitoneal IUCD have low morbidity and may be left in situ. We report the first case of closed loop small bowel obstruction due to migration of a “Saf-T-Coil” IUCD into the abdominal cavity, where it became embedded in the omentum and ultimately, 31 years after deployment, coiled both arms around a loop of ileum. This late complication underlines the dangers of intra-abdominal foreign bodies, even when chemically and biologically inert.


Sign in / Sign up

Export Citation Format

Share Document