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Small Bowel Perforation by a Clinically Unsuspected Fish Bone: Laparoscopic Treatment and Review of Literature

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Journal of Gastrointestinal Surgery

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Fig. 1
Fig. 2

Abbreviations

COPD:

Chronic obstructive pulmonary disease

MDCT:

Multidetector computed tomography

References

  1. Goh BK, Chow PK, Quah HM, Ong HS, Eu KW, Ooi LL, Wong WK: Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies. World J Surg 2006, 30:372–377.

    Article  PubMed  Google Scholar 

  2. Gitlin DF, Caplan JP, Rogers MP, Avni-Barron O, Braun I, Barsky AJ: Foreign-body ingestion in patients with personality disorders. Psychosomatics 2007, 48:162–166.

    Article  PubMed  Google Scholar 

  3. Drakonaki E, Chatzioannou M, Spiridakis K, Panagiotakis G: Acute abdomen caused by a small bowel perforation due to a clinically unsuspected fish bone. Diagn Interv Radiol 2010, 17:160–162.

    PubMed  Google Scholar 

  4. Barreiro CJ, Haut ER: Image of the month—quiz case. Foreign body (ingested chicken bone). Arch Surg 2010, 145:395–396.

    Article  PubMed  Google Scholar 

  5. Iannelli A, Siou P, Spinelli R, Andrescu F, Bloch P: Perforation of the ileum due to foreign body treated laparoscopically. Surg Endosc 2002, 16:538.

    Article  Google Scholar 

  6. Yao CC, Yang CC, Liew SC, Lin CS: Small bowel perforation caused by a sharp bone: laparoscopic diagnosis and treatment. Surg Laparosc Endosc Percutan Tech 1999, 9:226–227.

    PubMed  CAS  Google Scholar 

  7. Wichmann MW, Huttl TP, Billing A, Jauch KW: Laparoscopic management of a small bowel perforation caused by a toothpick. Surg Endosc 2004, 18:717–718.

    Article  Google Scholar 

  8. Velitchkov NG, Grigorov GI, Losanoff JE, Kjossev KT: Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases. World J Surg 1996, 20:1001–1005.

    Article  PubMed  CAS  Google Scholar 

  9. Zissin R, Osadchy A, Gayer G: Abdominal CT findings in small bowel perforation. Br J Radiol 2009, 82:162–171.

    Article  PubMed  CAS  Google Scholar 

  10. Pinero Madrona A, Fernandez Hernandez JA, Carrasco Prats M, Riquelme Riquelme J, Parrila Paricio P: Intestinal perforation by foreign bodies. Eur J Surg 2000, 166:307–309.

    Article  PubMed  CAS  Google Scholar 

  11. Canelas AL, Neto AN, Rodrigues AL, Meguins LC, Rolo DF, Lobato MF: Perforation of Meckel's diverticulum by a chicken bone mimicking acute appendicitis. Case report. G Chir 2009, 30:476–478.

    PubMed  Google Scholar 

  12. Klingler PJ, Smith SL, Abendstein BJ, Brenner E, Hinder RA: Management of ingested foreign bodies within the appendix: a case report with review of the literature. Am J Gastroenterol 1997, 92:2295–2298.

    PubMed  CAS  Google Scholar 

  13. Klingler PJ, Seelig MH, DeVault KR, Wetscher GJ, Floch NR, Branton SA, Hinder RA: Ingested foreign bodies within the appendix: A 100-year review of the literature. Dig Dis 1998, 16:308–314.

    Article  PubMed  CAS  Google Scholar 

  14. Akhtar S, McElvanna N, Gardiner KR, Irwin ST: Bowel perforation caused by swallowed chicken bones--a case series. Ulster Med J 2007, 76:37–38.

    PubMed  CAS  Google Scholar 

  15. Li SF, Ender K: Toothpick injury mimicking renal colic: case report and systematic review. J Emerg Med 2002, 23:35–38.

    Article  PubMed  CAS  Google Scholar 

  16. Lanitis S, Filippakis G, Christophides T, Papaconstandinou T, Karaliotas C: Combined laparoscopic and endoscopic approach for the management of two ingested sewing needles: one migrated into the liver and one stuck in the duodenum. J Laparoendosc Adv Surg Tech A 2007, 17:311–314.

    Article  PubMed  Google Scholar 

  17. Coulier B, Tancredi MH, Ramboux A: Spiral CT and multidetector-row CT diagnosis of perforation of the small intestine caused by ingested foreign bodies. Eur Radiol 2004, 14:1918–1925.

    Article  PubMed  Google Scholar 

  18. Salihoglu Z, Demiroluk S, Dikmen Y: Respiratory mechanics in morbid obese patients with chronic obstructive pulmonary disease and hypertension during pneumoperitoneum. Eur J Anaesthesiol 2003, 20:658–661.

    Article  PubMed  CAS  Google Scholar 

  19. Hsieh CH: Laparoscopic cholecystectomy for patients with chronic obstructive pulmonary disease. J Laparoendosc Adv Surg Tech A 2003, 13:5–9.

    Article  PubMed  Google Scholar 

  20. Dente M, Santi F, Solinas L, Bagarani M: Laparoscopic diagnosis and management of jejunal perforation resulting from accidental toothpick ingestion. Am Surg 2009, 75:178–179.

    PubMed  Google Scholar 

  21. Law WL, Lo CY: Fishbone perforation of the small bowel: laparoscopic diagnosis and laparoscopically assisted management. Surgical Laparoscopy, Endoscopy and Percutaneous Techniques 2003, 13:392–393.

    Article  Google Scholar 

  22. Perko Z, Bilan K, Pogorelic Z, Druzijanic N, Srsen D, Kraljevic D, Juricic J, Krnic D: Acute appendicitis and ileal perforation with a toothpick treated by laparoscopy. Collegium antropologicum 2008, 32:307–309.

    PubMed  Google Scholar 

  23. Rodriguez-Hermosa JI, Ruiz-Feliu B, Roig-Garcia J, Albiol-Quer M, Planellas-Gine P, Codina-Cazador A: Lethal intestinal perforation after foreign body ingestion in a superobese patient. Obesity surgery 2009, 19:1183–1185.

    Article  PubMed  Google Scholar 

  24. Ward MA, Tews MC: Small Bowel Perforation Secondary to Fish Bone Ingestion Managed Non-operatively. J Emerg Med 2010.

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The authors have no disclosures or conflicts of interest related to this manuscript.

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Authors and Affiliations

  1. Department of Surgery, Duke University Medical Center, Box 3443, Durham, NC, 27710, USA

    Keri Elizabeth Lunsford & Ranjan Sudan

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  1. Keri Elizabeth Lunsford
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  2. Ranjan Sudan
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Correspondence to Keri Elizabeth Lunsford.

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Lunsford, K.E., Sudan, R. Small Bowel Perforation by a Clinically Unsuspected Fish Bone: Laparoscopic Treatment and Review of Literature. J Gastrointest Surg 16, 218–222 (2012). https://doi.org/10.1007/s11605-011-1610-y

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  • DOI: https://doi.org/10.1007/s11605-011-1610-y

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