Surgical removal of a tea spoon from the ascending colon, ten years after ingestion: a case report.
Author(s)
Deeba, S
Purkayastha, S
Jeyarajah, S
Darzi, A
Type
Journal Article
Abstract
INTRODUCTION: The presentation of ingested foreign bodies in the gastrointestinal system is common in the emergency setting. The majority responds to conservative management and passes spontaneously; however, giant foreign bodies pose a management difficulty. We report a peculiar case of a giant foreign body (spoon) that presented very late after ingestion and the management of this presentation. CASE PRESENTATION: A 30-year-old British white male barrister presented with abdominal pain 10 years after he swallowed a spoon that never passed spontaneously. His workup revealed the spoon lodged in his ascending colon. Laparoscopic retrieval was not feasible so a laparotomy was done for retrieval. He did well and went home with no complications. CONCLUSION: Symptomatic giant ingested foreign bodies represent a management challenge sometimes and usually necessitate surgical intervention when all conservative means fail. We review the literature on management of giant ingested foreign bodies.
Date Issued
2009-09-09
Date Acceptance
2009-08-12
Citation
Cases Journal, 2009, 2
ISSN
1757-1626
Publisher
BioMed Central
Journal / Book Title
Cases Journal
Volume
2
Copyright Statement
© 2009 licensee BioMed Central Ltd. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Identifier
http://www.ncbi.nlm.nih.gov/pubmed/19918469
Subjects
1199 Other Medical And Health Sciences
Publication Status
Published
Coverage Spatial
England
Article Number
7532