Department of General Surgery, University of Health Sciences, Kanuni Sultan Suleyman Training & Research Hospital, Istanbul, Turkey.
Department of General Surgery, University of Health Sciences, Bakirkoy Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
J Coll Physicians Surg Pak. 2022 Aug;32(8):1070-1072. doi: 10.29271/jcpsp.2022.08.1070.
Ingestion of a foreign body is generally observed in the psychiatric patients and children. Healthy adult individuals may also swallow a foreign body unintentionally. Here, we report a case of a patient who swallowed a plastic fork and treated with laparoscopic repair. A 46-year man was admitted to the emergency room with the abdominal pain. His physical evaluation and diagnostic imaging revealed free air in the abdomen. Further imaging with CT scan showed a foreign body in the proximal ileum. On taking details of his swallowing history, he remembered swallowing a broken part of a plastic fork unwittingly during dinner. Following the removal of the foreign body, the perforation area was primarily repaired in double layers. The postoperative course was uneventful. An accurate diagnosis of the small intestinal perforation caused by the ingested foreign bodies, particularly in cases where the patient is unaware of the ingestion, can be difficult. CT scan is a useful tool when available to establish the diagnosis before the surgical intervention. Key Words: Small intestine, Perforation, Foreign body, Laparoscopic surgery.
异物摄入通常见于精神科患者和儿童。健康的成年人也可能无意中吞下异物。在这里，我们报告了一例患者吞下塑料叉子并接受腹腔镜修复治疗的病例。一名 46 岁男性因腹痛被收入急诊室。他的体格检查和诊断性影像学检查显示腹部有游离气体。进一步的 CT 扫描显示回肠近端有异物。在详细询问他的吞咽史后，他想起在晚餐时无意中吞下了塑料叉子的一部分。取出异物后，穿孔区域被双层缝合修复。术后过程顺利。对于由摄入的异物引起的小肠穿孔的准确诊断，特别是在患者不知道摄入的情况下，可能很困难。CT 扫描是一种有用的工具，可在手术干预前建立诊断。关键词：小肠、穿孔、异物、腹腔镜手术。
