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Successful endoscopic removal of a lighter swallowed 17 months before.

Trgo G, Tonkic A, Simunic M, Puljiz Z - Case Rep Gastroenterol (2012)

Bottom Line: The majority of ingested foreign bodies will pass safely through the gastrointestinal tract, but long and rigid foreign bodies are associated with an increased risk of gastrointestinal impaction, perforation and bleeding.This case report describes the case of a 36-year-old man addicted to heroin who purposefully swallowed a lighter (double wrapped in cellophane) and presented with hematemesis and melena 17 months after the ingestion of the foreign body.The lighter was successfully removed via flexible endoscopy using a polypectomy snare.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Division of Gastroenterology, University Hospital Split, and School of Medicine, University of Split, Split, Croatia.

ABSTRACT
The majority of ingested foreign bodies will pass safely through the gastrointestinal tract, but long and rigid foreign bodies are associated with an increased risk of gastrointestinal impaction, perforation and bleeding. However, large foreign bodies which have been swallowed can remain trapped in the stomach over a longer period of time without any significant symptoms. This case report describes the case of a 36-year-old man addicted to heroin who purposefully swallowed a lighter (double wrapped in cellophane) and presented with hematemesis and melena 17 months after the ingestion of the foreign body. The lighter was successfully removed via flexible endoscopy using a polypectomy snare. Swallowed long and rigid foreign bodies trapped in the stomach over a long period of time always represent a special clinical and endoscopic challenge. In cases where endoscopic removal fails, a laparoscopic surgical approach may be an alternative.

No MeSH data available.


Related in: MedlinePlus

Plain X-ray showing a rectangular partly radiopaque, partly radiolucent object measuring 8.5 × 1 cm, situated in the paravertebral middle abdomen slightly to the left. The findings indicated a foreign body in the stomach.
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Figure 1: Plain X-ray showing a rectangular partly radiopaque, partly radiolucent object measuring 8.5 × 1 cm, situated in the paravertebral middle abdomen slightly to the left. The findings indicated a foreign body in the stomach.

Mentions: A 36-year-old Caucasian male with a previous history of heroin abuse and chronic hepatitis C was admitted to the Department of Internal Medicine, Division of Gastroenterology, University Hospital Split because of hematemesis and melena. On admission, the patient reported purposefully swallowing a lighter which he had double wrapped in cellophane 17 months before in a police station (where he was being questioned under the suspicion of smuggling narcotics). At that moment he refused the suggested endoscopic or surgical extraction of the foreign body. He had been without significant gastrointestinal problems for 17 months. The patient's vital signs in the emergency room were stable. Chest and heart examination were unremarkable. The abdomen was soft, without tenderness or rigidity. Digital rectal examination determined melena. A plain abdominal X-ray study confirmed the presence of a large foreign body in the left upper abdominal quadrant (fig. 1).


Successful endoscopic removal of a lighter swallowed 17 months before.

Trgo G, Tonkic A, Simunic M, Puljiz Z - Case Rep Gastroenterol (2012)

Plain X-ray showing a rectangular partly radiopaque, partly radiolucent object measuring 8.5 × 1 cm, situated in the paravertebral middle abdomen slightly to the left. The findings indicated a foreign body in the stomach.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3369402&req=5

Figure 1: Plain X-ray showing a rectangular partly radiopaque, partly radiolucent object measuring 8.5 × 1 cm, situated in the paravertebral middle abdomen slightly to the left. The findings indicated a foreign body in the stomach.
Mentions: A 36-year-old Caucasian male with a previous history of heroin abuse and chronic hepatitis C was admitted to the Department of Internal Medicine, Division of Gastroenterology, University Hospital Split because of hematemesis and melena. On admission, the patient reported purposefully swallowing a lighter which he had double wrapped in cellophane 17 months before in a police station (where he was being questioned under the suspicion of smuggling narcotics). At that moment he refused the suggested endoscopic or surgical extraction of the foreign body. He had been without significant gastrointestinal problems for 17 months. The patient's vital signs in the emergency room were stable. Chest and heart examination were unremarkable. The abdomen was soft, without tenderness or rigidity. Digital rectal examination determined melena. A plain abdominal X-ray study confirmed the presence of a large foreign body in the left upper abdominal quadrant (fig. 1).

Bottom Line: The majority of ingested foreign bodies will pass safely through the gastrointestinal tract, but long and rigid foreign bodies are associated with an increased risk of gastrointestinal impaction, perforation and bleeding.This case report describes the case of a 36-year-old man addicted to heroin who purposefully swallowed a lighter (double wrapped in cellophane) and presented with hematemesis and melena 17 months after the ingestion of the foreign body.The lighter was successfully removed via flexible endoscopy using a polypectomy snare.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Division of Gastroenterology, University Hospital Split, and School of Medicine, University of Split, Split, Croatia.

ABSTRACT
The majority of ingested foreign bodies will pass safely through the gastrointestinal tract, but long and rigid foreign bodies are associated with an increased risk of gastrointestinal impaction, perforation and bleeding. However, large foreign bodies which have been swallowed can remain trapped in the stomach over a longer period of time without any significant symptoms. This case report describes the case of a 36-year-old man addicted to heroin who purposefully swallowed a lighter (double wrapped in cellophane) and presented with hematemesis and melena 17 months after the ingestion of the foreign body. The lighter was successfully removed via flexible endoscopy using a polypectomy snare. Swallowed long and rigid foreign bodies trapped in the stomach over a long period of time always represent a special clinical and endoscopic challenge. In cases where endoscopic removal fails, a laparoscopic surgical approach may be an alternative.

No MeSH data available.


Related in: MedlinePlus