Spontaneous resolution of gastric perforation caused by an ingested foreign body: a case report

Emergency Laparoscopic Removal of an Ingested Fishbone Perforating the Stomach After Endoscopy: A Case Report

A 70-year-old female who presented with epigastric pain of two days' duration was reported. Her multi-detector computed tomography (MDCT) images showed peri-gastric fat stranding on MDCT, corresponding to the extra-gastric wall inflammation due to gastric perforation. Laparoscopic surgery was successfully performed to remove the extra-gastric foreign body and repair the perforation with the lesser omentum. To the best of our knowledge, the literature review showed that this is the 10th case of gastric perforation due to a foreign body treated by laparoscopy. The fat stranding is considered indicative of gastric perforation, and laparoscopy must be prepared when gastroscopy fails to remove and save the gastric perforation.

An asymptomatic perforation of the gastrointestinal tract caused by ingestion of foreign body: A case report

Ingestion of foreign bodies is very common in clinical practice. However, gastrointestinal perforation caused by a foreign body is rare, as most foreign bodies can pass the alimentary tract spontaneously or be removed endoscopically. Ingesting a foreign body causes gastrointestinal tract perforation in less than 1% of cases that require surgery. In the past, the literature about gastrointestinal tract perforation caused by foreign bodies had been widely reported worldwide. However, the case of foreign bodies causing gastrointestinal perforation without significant abdominal infection was rarely documented. A 47-year-old woman presented with intermittent left lower abdominal pain associated with a mass for 1 month and had no other symptoms. Laparotomy was performed after clinical assessment. During the operation, a local inflammatory mass that adhered to the abdominal wall, part of the small intestine, and sigmoid colon was found in the left lower quarter of the abdominal cavity. The surrounding intestinal wall was edematous. There were two bony foreign bodies in it. Postoperative pathology suggested an inflammatory mass. A foreign body rarely migrates into the abdominal cavity without symptoms that may be related to the omentum's slow perforation process and good function. The best treatment is surgery and using appropriate antibiotics.