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Unintentional Plastic Blister Ingestion Leading to Intestinal Perforation: A Report of Two Cases.
Medina Gontier, Juli Celina; Wienandts, Lea; Endermann, Susann.
Afiliação
  • Medina Gontier JC; Clinic for General, Visceral, Endocrine, and Transplantation Surgery, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
  • Wienandts L; Clinic for General Internal Medicine, General Practitioner Medicine, and Emergency Medicine, Cantonal Hospital St.Gallen, St. Gallen, Switzerland.
  • Endermann S; Clinic for Anesthesiology, Operative Intensive Care Medicine, Rescue, and Pain Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Am J Case Rep ; 25: e943514, 2024 Apr 16.
Article em En | MEDLINE | ID: mdl-38622861
ABSTRACT
BACKGROUND Unintentional medication-blister ingestion is rare but frequently leads to intestinal perforation. The diagnosis of intestinal perforation following blister ingestion is often delayed because of an unreliable history and nonspecific clinical presentation. The purpose of this case report is to raise awareness about a rare but difficult diagnosis and its importance in avoiding potentially fatal events. CASE REPORT Herein, we describe successful cases of surgical and endoscopic removal after blister ingestion. The first case was that of a polymorbid 75-year-old man who presented with acute onset of abdominal pain in the right upper quadrant and epigastric regions. No indication of the cause was observed on initial computed tomography (CT). The patient developed an acute abdomen, and emergency laparotomy was performed, during which 2 small perforations were observed in the terminal ileum, and an empty tablet blister was retrieved. The second patient was a 55-year-old man who presented with a considerable lack of awareness. On the initial CT, a subdural hematoma, aspiration, and an unidentified foreign body in the stomach were observed. Gastroscopy was performed after emergency craniotomy. In addition to the initial foreign body, a second object, which had gone unnoticed on the initial CT, was found and removed from the esophagus. CONCLUSIONS With an increased risk of perforation and difficult clinical and radiological diagnoses, prophylactic measures and special awareness of high-risk patients are particularly important.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Corpos Estranhos / Perfuração Intestinal Limite: Aged / Humans / Male / Middle aged Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Corpos Estranhos / Perfuração Intestinal Limite: Aged / Humans / Male / Middle aged Idioma: En Ano de publicação: 2024 Tipo de documento: Article