Three Cases of Perforation of the Small Intestine Due to Ingested Foreign Bodies.

• YODONAWA Satoshi

  Department of Surgery, Ibaraki Seinan Medical Center Hospital

• OGAWA Isao

  Department of Surgery, Ibaraki Seinan Medical Center Hospital

• FUJIWARA Akira

  Department of Surgery, Ibaraki Seinan Medical Center Hospital

• HIRANO Minoru

  Department of Surgery, Ibaraki Seinan Medical Center Hospital

• GOTO Yukinobu

  Department of Surgery, Ibaraki Seinan Medical Center Hospital

Bibliographic Information

Other Title

• 異物誤飲による小腸穿孔の３例　　ｐｒｅｓｓ　ｔｈｒｏｕｇｈ　ｐａｃｋａｇｅについて

Abstract

Perforation of the small intestine due to foreign body is relatively rare and presents difficulty in preoperative diagnosis. In this paper, three cases of perforation of the small intestine due to a fish bone, a false tooth and a press through package (PTP) are presented. Patient 1 was admitted to the hospital because of right lower abdominal pain. Abdominal CT scan showed an edematous small intestine. Laparotomy was performed with a suspicion of acute appendicitis, when the jejunum was found to be perforated due to a fish bone. Direct suturing was done after removal of the fish bone. Patient 2 was diagnosed as having panperitonitis and an abdominal X-ray film and a CT scan showed a foreign body like a false tooth in the small intestine. Emergency operation revealed that the ileum was perforated due to a false tooth. A partial resection of the ileum with the false tooth was performed. Patient 3 was admitted to the hospital with a diagnosis of ileus. No peritoneal signs were presented. Abdominal CT scan showed an edematous small intestine and an intestinography showed stenosis of the ileum. Laparotomy was performed. During surgery, the ileum was perforated due to a PTP (1.5×1.5cm) and covered with the omentum. A partial resection of the ileum including the PTP was carried out.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 62 (5), 1182-1187, 2001

  Japan Surgical Association

Keywords

• press through package (PTP)

Details

• CRID: 1390282679821075968
• NII Article ID: 130003602493
• NII Article ID: 10008390104
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.62.1182
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/62/5/62_5_1182/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2001252177
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed