scholarly journals Rare complications of intrauterine contraception with formation of foreign bodies in the abdominal cavity and urine bladder

2004 ◽  
Vol 53 (4) ◽  
pp. 86-88
Author(s):  
V. М. Subbotin ◽  
М. I. Davidov

2 rare cases of intrauterine contraception are presented. A 53-year old female patient had been having a Lippas intrauterine contraception device (IUCD) in the abdominal cavity for 19 years before it was occasionally revealed on cholecystectomy. The next female patient who had had a T-type IUCD for 6 years developed trophic changes of the uterine wall followed by the migration and penetration of IUCD into the wall and then the urine bladder cavity. Laparotomy and cystotomy with the evacuation of the foreign body and dissection of the walls of cystouterine fistular were performed. Both patients made a complete recovery.

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Boyodi Tchangai ◽  
Fousseni Alassani ◽  
Mazamesso Tchaou

Surgical sponges are the most common retained foreign bodies following surgery. The morbidity of this condition is illustrated herein with the case of a 36-year-old female patient with a history of myomectomy 5 months before her admission into our unit for enterocutaneous fistula. Although imaging and etiological investigations were made, diagnosis was carried out only by laparotomy. The foreign body found was an abdominal swab that migrated from abdominal cavity to the colon causing several intestinal injuries. The lack of specific clinical signs and the death of the patient raise the necessity of preventing these complications that involve the surgeon liability.


2020 ◽  
Vol 10 (3) ◽  
pp. 228-232
Author(s):  
M. R. Garaev ◽  
M. Yu. Vorotnikov ◽  
Z. R. Garayeva ◽  
M. A. Nartaylakov

Introduction. Stomach perforations caused by ingested foreign bodies are extremely rare injuries in adults, accounting for less than 1% of all gastrointestinal perforations. The clinical picture is diverse and often presents a diagnostic problem. There are few publications reporting such cases in literature.Materials and methods. Using the example of a clinical case, this paper describes the clinical picture, diagnostic role of X-ray instruments and surgical tactics of diagnosing and treating a stomach perforation concealed by a foreign object, which occurred one week prior to admission. The patient V., 52 yo, was admitted to hospital on an emergency basis in the condition of moderate severity, complaining of abdominal pain for two days. The onset of the disease had no apparent reason. Similar pains had bothered the patient a week earlier the incident but were relieved without treatment.Results and discussion. On the basis of clinical and laboratory-instrumental data, acute pancreatitis was pre-diagnosed. Conservative drug therapy with positive dynamics was started. Two days later, computed tomography of the abdominal organs with intravenous bolus contrast was performed. According to the CT data, a foreign body in the abdominal cavity was identified, which rested on the liver at the level of the gallbladder, perforating the wall of the pyloric department of the stomach. Localized inflammatory effusion in the abdominal fat was observed. The patient was operated and discharged in satisfactory condition.Conclusion. Stomach perforations caused by small-sized foreign bodies are characterized by non-specific clinical manifestations. The use of radiation diagnostic methods facilitates the timely diagnosis and therapy choice in patients with stomach perforations caused by small-sized foreign bodies. 


Author(s):  
Manit M. Mandal ◽  
Ajay J. Panchal ◽  
Rakesh Kumar ◽  
Parth B. Kapadia ◽  
Vipul Valiya ◽  
...  

<p class="abstract"><strong>Background:</strong> Amongst pediatric patients, oesophageal foreign bodies (OFBs) are relatively common clinical problem. Majority pass harmlessly through gastrointestinal tract, some can cause complications or morbidities. Our study considered and reviewed our experience in managing OFBs in pediatric patients, with emphasis on the management and outcomes of complicated cases.</p><p class="abstract"><strong>Methods:</strong> 77 cases of OFBs (diagnosis established), upto 12 years of age admitted at our tertiary hospital between January 2015 to December 2020 (duration of 6 years) were reviewed and analysed. On the basis of our analysis accounting demographic data, presenting symptoms, workup investigation, management, complications and outcomes, results and conclusions were derived.</p><p class="abstract"><strong>Results:</strong> Amongst cases, 43 were male and 34 female. Mean age for our cases was 5.4 years. 56 cases (72.7%) cases presented in the hospital within first 24 hours. Commonest foreign body found in 64 cases (83.1%) was coin. Most cases had history of witnessed ingestion. Commonest presentation was asymptomatic (with history of witnessed ingestion), followed by complaint of vomiting and drooling of saliva. Most patients were discharged within 48 hours post-operatively except for 2 patients who presented intra-operatively with edematous inflamed mucosa with slight charring on oesophagoscopy where foreign body was button battery (cell). Follow-up period ranged from 2 to 8 months and all patients had complete recovery without any sequelae.</p><p class="abstract"><strong>Conclusions:</strong> Our experience of 6 years with 77 pediatric patients with OFBs having various presentations have been reviewed, analysed and concluded here. All the patients had complete recovery without any sequelae.</p>


2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Francesca D’Auria ◽  
Vincenzo Consalvo ◽  
Antonio Canero ◽  
Maria Russo ◽  
Carmela Rescigno ◽  
...  

Introduction. Ingestion of foreign bodies including dentures, fishbone, screw, and/or surgical devices can be a cause of morbidity, and it rarely could be fatal. Presentation of Case. We present the first hitherto reported case of mussel shell ingestion, which caused acute abdominal pain in a 55-year-old woman. The shell pierced ileal loops, and it was found in the abdominal cavity. Discussion. The accidental or voluntary ingestion of a foreign body is an uncommon event compared to the other causes of bowel perforation. It is fundamental to immediately remove the intestinal fluid, repair the tear, and prevent sepsis, because each delay in diagnosis can lead to a worst outcome. Conclusion. In case of bowel perforation, it important for surgeons, who are dealing with these acute care patients, to be aware of different designs and constructions of possible foreign bodies, in order to be prepared to deal with different possible scenarios and be able to manage them properly.


2001 ◽  
Vol 82 (6) ◽  
pp. 458-459
Author(s):  
R. Sh. Shaimardanov ◽  
I. S. Malkov ◽  
V. N. Biryaltsev ◽  
A. M. Zainutdinov ◽  
Kh. M. Khalilov ◽  
...  

In the structure of proctological diseases, foreign bodies in the rectum account for 0.5%. Foreign bodies in the rectum occur less frequently in general clinical institutions. We observed a patient with a foreign body in the rectum perforating into the abdominal cavity.


1992 ◽  
Vol 2 (1) ◽  
pp. 44-45 ◽  
Author(s):  
F. Kuhn ◽  
C.D. Witherspoon ◽  
H. Skalka ◽  
R. Morris

For fear of endophthalmitis and siderosis, ferrous intraocular foreign bodies are usually removed as soon as they are discovered; markedly reduced, siderotic ERG changes are considered permanent. We report a patient who presented with a chronically retained intravitreal foreign body and significant clinical as well as electrophysiologic signs of siderosis. Only 3 months after surgery, the ERG showed almost complete recovery. If siderosis is not present, adequate and regular follow-up examinations may in certain cases substitute for immediate removal of chronically retained intraocular foreign bodies.


2015 ◽  
Vol 62 (2) ◽  
pp. 57-60
Author(s):  
Miroslav Knezevic ◽  
Ljubomir Djurasic

Sewing needle inside of the abdominal cavity after ingestion, is described in a minority of cases, according to reviewed literature. Swallowed foreign body is more common in children, persons deprived of their liberty and psychiatric patients. It frequently passes asymptomatic by elimination from the digestive tract. The patient J.P. 75 years old from Bar, hospitalized at the department because of metallic foreign bodie - sewing needle in the abdominal cavity. X-ray native abdominal, MDCT of the abdomen and EGDS in consultation with gastroenterologist from Clinical Center in Podgorica, is made outpatient. After treatment the patient was operated on 19th November, 2013 by the classic laparotomy and after the expected recovery, without complications discharged. Foreign body in the omentum can arrive from the digestive tube migration and penetration through the abdominal wall. In some organs of the abdominal cavity, such as the liver can come through bloodstream. Perforation of the GI tract occurs in less than 1% of cases, mainly through the digestive tube runs without problems in about a week. The migration of a sewing needle through the stomach can cause a state of emergency abdominal or can go through asymptomatic. Treatment is traditionally classical laparotomy, while today there are more works that favor the laparoscopic method. The rarity of surgical practice that has been treated laparotomy and removing foreign bodies. Today, more and more works where the extraction of foreign bodies from the abdominal cavity is made by the laparoscopic method.


2021 ◽  
Vol 90 (1) ◽  
pp. 17-22
Author(s):  
C. Benzimra ◽  
L. Couturier ◽  
L. Gatel ◽  
E. Cauvin ◽  
G. Gory ◽  
...  

Numerous locations have been reported for vegetal foreign body migration. However, urogenital migration has rarely been documented. In this retrospective study, the ultrasonographic features associated with intrauterine migrating vegetal foreign bodies (grass seeds) are described in one intact and ten ovariectomized bitches. The most common ultrasonographic finding was focal and mild ampullary dilation of the uterus, containing the foreign body outlined by scant intraluminal fluid. There were no changes seen to the uterine wall, except in one dog with uterine perforation, confirmed at surgery. The remainder of the uterus had a normal appearance in 8/11 dogs, while there was a small amount of intraluminal fluid in 2/11 cases. Mild, focal steatitis around the focal dilation of the uterus segment containing the foreign body was observed in one case. The subtlety of these findings suggests that the ultrasonographic diagnosis of uterine grass awns can be challenging. This underlines a discrepancy with other reported migration sites commonly associated with marked inflammation.


2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Christos Koutserimpas ◽  
Argyrios Ioannidis ◽  
Michael Konstantinidis ◽  
Panagiotis Athanasopoulos ◽  
Fotios Antonakopoulos ◽  
...  

The risk of a broken scalpel blade during discectomy is considered extremely rare, while no guidelines exist regarding this complication. We report a case of a robotic broken blade removal following lumbar discectomy. A 52-year-old female was subjected to L4-L5 discectomy. During the annulus resection, the scalpel blade broke and was retained within the disc space. The broken blade migrated towards the abdominal cavity and viscera. Emergency CT angiography scan revealed that the main vessels were intact, while the broken surgical knife was located anterior to the lumbar spine at the L4/L5 level, to the left of the aorta and superiorly of the left common iliac artery. At that point, robot-assisted laparoscopy was performed. The broken instrument was located and carefully removed. It seems more proper that such foreign bodies should be removed, while robotic surgery may play a significant role in cases that the foreign body is near major vessels.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Akira Yamamoto ◽  
Junichiro Hiro ◽  
Yusuke Omura ◽  
Takashi Ichikawa ◽  
Shozo Ide ◽  
...  

Abstract Background Intrapelvic aberrant needles are rare in clinical practice. Long-term foreign bodies in the abdominal cavity may form granulation tissue or an abscess, and may cause organ injury. Therefore, such foreign bodies need prompt removal. Case presentation A 26-year-old male athlete was referred to our hospital for investigation of an aberrant acupuncture needle in the gluteus. The needle was unable to be removed during acupuncture treatment, and the end broke off and remained in the gluteus. Abdominal X-ray examination showed a thin, 40-mm-long, metallic foreign body resembling an acupuncture needle. Abdominal computed tomography showed an abnormal shadow in the gluteus. However, it was unclear whether the tip of the needle reached the pelvic cavity. Thus, it was decided to surgically extract the needle via laparoscopic surgery under X-ray guidance as a safe and minimally invasive method. Although X-ray fluoroscopy confirmed that the aberrant needle was located in the gluteus, the needle could not be felt with the forceps, as the peritoneum surrounding the needle had granulomatous changes due to inflammation. Therefore, the retroperitoneum was further dissected to search for the needle. Once the needle was identified, its flexibility enabled it to be easily removed by grasping it directly with a needle holder. The length of the aberrant needle was 40 mm. The postoperative course was uneventful, and the patient was discharged from hospital on postoperative day 2. Conclusions When a foreign body remains in the gluteus and its tip touches intrapelvic organs, such as the rectum, it is critical to determine the best approach for its safe removal. Given the anatomical location of the foreign body and the patient background, laparoscopic removal was considered the best approach in the present case.


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