Kao EN, Liao KH, Chen TW, Chan DC, Yu JC. Colon perforation caused by swallowing a shrimp leg: A case report.
Int J Surg Case Rep 2018;
52:114-116. [PMID:
30342390 PMCID:
PMC6197384 DOI:
10.1016/j.ijscr.2018.09.042]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2018] [Revised: 09/13/2018] [Accepted: 09/27/2018] [Indexed: 11/29/2022] Open
Abstract
Colon perforation caused by swallowing a shrimp leg is the first reported case currently.
Chronic perforation of colon may not need emergent surgery.
Laparoscopic drainage and removal of shrimp leg is effect treatment to diminish hospital days.
Introduction
Ingestion of a foreign body rarely results in perforation of the gastrointestinal tract. Foreign bodies such as dentures, fish bones, chicken bones, toothpicks and cocktail sticks have been known to cause bowel perforation; however, bowel perforation caused by shrimp leg has not been reported so far.
Presentation of case
We report a case of a 69-years-old man who presented with a 4-months epigastric pain. Laboratory data revealed inflammation at the first hospital visit. Computed tomography revealed a hypodense lesion containing a hyperdense foreign body in the abdomen. Intra-abdominal abscess caused by foreign body perforation was diagnosed.
Discussion
An increased incidence of perforation has been reported in association with Meckel’s diverticulum, the appendix, and diverticular disease. The abdominal abscess in this case was located beside the diverticulum of transverse colon, so the perforation most likely occurred in the diverticulum of transverse colon.
Conclusion
Perforation of colon by shrimp leg is very rare and not reported currently. Although some cases have been successfully treated chronic foreign-body perforation with abscess by using antibiotics alone, typical treatments remains surgical drainage of the abscess and removal of foreign body.
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