Abstract
Accidental ingestion of foreign bodies is common in the general population. Most foreign bodies pass through the entire digestive tract without incidents. However, in some cases, the ingested foreign body can cause complications such as acute abdomen due to intestinal perforation and even death. Bowel perforation may not be more common in the massively obese than in the normal-weight population but may be more problematic. We describe a super-obese female (body mass index, 52.3 kg/m2) who underwent emergency surgery for small-bowel perforation caused by an ingested foreign body (fish bone); the patient died despite segmental intestinal resection and intensive care.
References
Deitel M. Overweight and obesity worldwide now estimated to involve 1.7 billion people. Obes Surg. 2003;13:329–30.
World Health Organization. World health report 2006. Available at: https://doi.org/www.iotf.org. Accessed Nov 2007.
Rodríguez-Hermosa JI, Ruiz-Feliú B, Roig-García J, et al. Hepatic evisceration after cholecystectomy in a superobese patient. Obes Surg. 2008;18:237–9.
Rodríguez-Hermosa JI, Codina-Cazador A, Ruiz-Feliú B, et al. Incarcerated umbilical hernia in a super-super-obese patient. Obes Surg. 2008;18:893–5.
Rodríguez-Hermosa JI, Codina-Cazador A, Sirvent JM, et al. Surgically treated perforations of the gastrointestinal tract caused by ingested foreing bodies. Colorectal Dis 2008 Nov 12 (in press).
Piñero A, Fernández JA, Carrasco M, et al. Intestinal perforation by foreign bodies. Eur J Surg. 2000;166:307–9.
Velitchkov NG, Grigorov GI, Losanoff JE, et al. Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases. World J Surg. 1996;20:1001–5.
Lai AT, Chow TL, Lee DT, et al. Risk factors predicting the development of complications after foreign body ingestion. Br J Surg. 2003;90:1531–5.
Rodríguez-Hermosa JI, Roig J, Ruiz B, et al. Recurrent ingestion of foreign bodies and abdominal self-injury as a form of attempted suicide. Gastroenterol Hepatol. 2004;27:529–34.
Rodríguez-Hermosa JI, Farrés R, Codina A, et al. Intestinal perforations caused by foreign bodies. Cir Esp. 2001;69:504–6.
Goh BK, Chow PK, Quah HM, et al. Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies. World J Surg. 2006;30:372–7.
American Society for Gastrointestinal Endoscopy. Guideline for the management of ingested foreign bodies. Gastrointest Endosc. 1995;42:622–5.
Hsu SD, Chan DC, Liu YC. Small-bowel perforation caused by fish bone. World J Gastroenterol. 2005;11:1884–5.
Coulier B, Tancredi MH, Ramboux A. Spiral CT and multidetector-row CT diagnosis of perforation of small intestine caused by ingested foreign bodies. Eur Radiol. 2004;14:1918–25.
Goh BK, Tan YM, Lin SE, et al. CT in the preoperative diagnosis of fish bone perforation of the gastrointestinal tract. AJR Am J Roentgenol. 2006;187:710–4.
Wichmann MW, Huttl TP, Billing A, et al. Laparoscopic management of a small bowel perforation caused by a toothpick. Surg Endosc. 2004;18:717–8.
Law WL, Lo CY. Fishbone perforation of the small bowel: laparoscopic diagnosis and laparoscopically assisted management. Surg Laparosc Endosc Percutan Tech. 2003;13:392–3.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rodríguez-Hermosa, J.I., Ruiz-Feliú, B., Roig-García, J. et al. Lethal Intestinal Perforation After Foreign Body Ingestion in a Superobese Patient. OBES SURG 19, 1183–1185 (2009). https://doi.org/10.1007/s11695-008-9667-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-008-9667-8