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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

Lighter after endoscopic removal from the stomach.
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Figure 2: Lighter after endoscopic removal from the stomach.

Mentions: Informed written consent for an upper gastrointestinal endoscopy was obtained from the patient. Esophagogastroduodenoscopy revealed the presence of an ulcer in the angular part of the stomach (Forrest III) as well as a large foreign body wrapped in dark-colored cellophane in the middle of the stomach. The first endoscopic attempt at foreign body extraction using an endoscopic basket was unsuccessful. Nevertheless, a gastroscopy was performed the following day and the foreign body was successfully removed endoscopically using a polypectomy snare. The procedure lasted 10 min and was uneventful. The extracted foreign body was a lighter (8 cm long) which was double wrapped in cellophane (fig. 2). In addition, the patient was treated with an adequate diet, pantoprazole and 2 U of packed red blood cells. He was dismissed from the hospital after a week in good clinical condition, with the discharge medication being pantoprazole 40 mg administered orally to be taken daily for 1 month. A control upper endoscopy after 1 month indicated full scarred healing of the gastric ulceration.


Successful endoscopic removal of a lighter swallowed 17 months before.

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

Lighter after endoscopic removal from the stomach.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: Lighter after endoscopic removal from the stomach.
Mentions: Informed written consent for an upper gastrointestinal endoscopy was obtained from the patient. Esophagogastroduodenoscopy revealed the presence of an ulcer in the angular part of the stomach (Forrest III) as well as a large foreign body wrapped in dark-colored cellophane in the middle of the stomach. The first endoscopic attempt at foreign body extraction using an endoscopic basket was unsuccessful. Nevertheless, a gastroscopy was performed the following day and the foreign body was successfully removed endoscopically using a polypectomy snare. The procedure lasted 10 min and was uneventful. The extracted foreign body was a lighter (8 cm long) which was double wrapped in cellophane (fig. 2). In addition, the patient was treated with an adequate diet, pantoprazole and 2 U of packed red blood cells. He was dismissed from the hospital after a week in good clinical condition, with the discharge medication being pantoprazole 40 mg administered orally to be taken daily for 1 month. A control upper endoscopy after 1 month indicated full scarred healing of the gastric ulceration.

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