Abstract
A 52 years old woman presented to emergency service after eating
#chicken meat few days before that. She had upper abdominal pain,
vomiting, weakness and fever of 38oC. A control abdominal CT scan showed
linear 50 mm foreign body that perforated the pyloric wall and
penetrated into the liver. US, CT and fibro #gastroscopy have been used
to discover cause for the patient's problem. Laparoscopy was suggested
as main therapeutic method for extraction of the foreign body and
closing of organs damage. Accidental swallowing of foreign body is very rare and ends with
#egestion without medical observation and diet. Mostly, it is observed in
patients at younger age [1]. However, when eating chicken, fish or
crowing it can happen to patients of all ages. Sharper and longer than
the diameter of the gastrointestinal tube bodies may lead to mechanical
obstruction or perforate the GI wall causing local inflammation. In case
of double organ injury, a sharp foreign body may cause #life-threatening
complication as liver abscess [2], bile leak, peritonitis or abdominal
hemorrhage. CT imaging is the method for diagnostic and laparoscopy is
preferred for dealing with abdominal complications [1-3]. The aim of
this report is to present the importance of the #laparoscopic surgery for
the treatment of minimal injury of the gastrointestinal tract.
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Case Report of Laparoscopic Treatment of Biliary Peritonitis Due to Double Organ Injury after Swallowing of Chicken Bone by Ludmil Marinov in BJSTR
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