Kürdan Yutulmasına Bağlı Gelişen Duedonal Perforasyon Yönetimi

Year 2023, Volume: 7 Issue: 3, 391 - 394, 20.12.2023

Oğuzhan Fatih Ay , Sinan Arıcı

https://doi.org/10.46332/aemj.1117886

Abstract

Yabancı cisimlerin yutulması, gastrointestinal sistemde ciddi morbidite ve mortalitenin önde gelen nedenlerinden biridir. 47 yaşında erkek hasta iki gündür olan karın ağrısı şikayeti ile acil servise başvurdu. Hastanın fizik muayenesinde peritoneal irritasyon belirtisi görülmedi; sadece sağ üst kadranda ve yan tarafta hassasiyet gözlendi. Bilgisayarlı tomografi incelemesinde duodenumun üçüncü bölümünü perfore eden ve retroperitoneal yapılara uzanan yabancı cisim görüldü. Karın muayenesi normal, vital bulguları stabil olan hastada yabancı cismin çıkarılması için yarı elektif laparotomi kararı alındı. Duedonumun üçüncü kıtanın perfore olan bölgesi onarıldı ve omentopeksi uygulandı. Hasta postoperatif 6. gün başarıyla taburcu edildi.

Keywords

kürdan, duedonal perforasyon, yabancı cisim yutulması

Management of Duodeneal Perforation Due to Toothpick Ingestion

Abstract

The ingestion of foreign bodies is one of the leading causes of severe morbidity and mortality in the gastrointestinal tract. A male patient, 47 years old, presented to the emergency department with two days of abdominal pain. The patient's physical examination revealed no indications of peritoneal irritation; only tenderness in the right upper quadran and flank was observed. A computed tomography examination revealed a foreign body that had perforated the third portion of the duodenum and extended into the retroperitoneal structures.
A semi-elective laparotomy had been determined to remove the foreign object from the patient whose abdominal examination was normal and whose vital signs were stable.
The third perforated region of the duedonum was repaired and omentopexy was performed. Six days after surgery, the patient was successfully discharged .

Keywords

toothpick, duodeneal perforation, foreign body ingestion

References

• 1. Erbil B, Karaca MA, Aslaner MA, et al. Emergency admissions due to swallowed foreign bodies in adults. World J Gastroenterol. 2013;19(38):6447-6452.
• 2. Yi L, Cheng Z, Zhou Y, et al. Fishbone foreign body ingestion in duodenal papilla: a cause of abdominal pain resembling gastric ulcer. BMC Gastroenterol. 2020;20(1):323.
• 3. Petrea S, Brezean I. Self-ingested intraduodenal foreign bodies--expectancy or surgical sanction? J Med Life. 2014;7(3):421-427.
• 4. Wang Z, Du Z, Zhou X, Chen T, Li C. Misdiagnosis of peripheral abscess caused by duodenal foreign body: a case report and literature review. BMC Gastroenterol. 2020;20(1):236.
• 5. Ragazzi M, Delcò F, Rodoni-Cassis P, Brenna M, Lavanchy L, Bianchetti MG. Toothpick ingestion causing duodenal perforation. Pediatr Emerg Care. 2010;26(7):506-507.
• 6. Dedania B, Khanapara D, Panwala A, Dharan M. A Case of Mysterious Impacted Duodenal Foreign Body Presenting with Halitosis. Case Rep Gastroenterol. 2017;10(3):800-807.