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Surgical removal of a tea spoon from the ascending colon, ten years after ingestion: a case report.

Title: Surgical removal of a tea spoon from the ascending colon, ten years after ingestion: a case report.
Authors: Deeba, S
Purkayastha, S
Jeyarajah, S
Darzi, A
Item 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.
Issue Date: 9-Sep-2009
Date of Acceptance: 12-Aug-2009
URI: http://hdl.handle.net/10044/1/44630
DOI: https://dx.doi.org/10.4076/1757-1626-2-7532
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.
Keywords: 1199 Other Medical And Health Sciences
Publication Status: Published
Conference Place: England
Article Number: 7532
Appears in Collections:Department of Surgery and Cancer
Institute of Global Health Innovation