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Jejunum Perforation Caused by Nasogastric Tube: A Case Report
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Volume 1, 2014
Issue 1 (January)
Pages: 1-3   |   Vol. 1, No. 1, January 2014   |   Follow on         
Paper in PDF Downloads: 26   Since Aug. 28, 2015 Views: 2009   Since Aug. 28, 2015
Mohammad Zarei, Department of Nursing, Quchan Branch, Islamic Azad University, Quchan, Iran.
Amin Irandoost, Department of Nursing, Mashhad University of Medical Sciences, Mashhad, Iran.
Farzad Abdollahipoor, Department of Nursing, Mashhad University of Medical Sciences, Mashhad, Iran.
Introduction: Foreign bodies, accidentally ingested, mostly pass through the gastrointestinal tract without any consequences. A very small percentage perforates the GI tract which may occur anywhere from mouth to anus. A definitive preoperative history of foreign body ingestion is uncertain. Small bowel foreign-body-induced perforations are rarely diagnosed preoperatively because clinical symptoms are usually non-specific and other minor surgical conditions, such as appendicitis. Greater risk of perforation occurs at extreme ages among those wearing dentures and orthodontic appliances, patients with previous bowel pathology, or alcoholic and psychiatric patients. Risk of perforations is related to the object length and sharpness as well. Case presentation: We are presenting an interesting case of perforation caused by NG-tube with a 36 year – old man. The patient was admitted with a primary diagnosis of RLQ pain and was taken to operating room for appendectomy but not was appendix turgid. In further investigations into the abdomen a jejunum perforation was found to have been caused by a foreign body. After extraction, it was determined as part of nasogastric tube. Discussion: Foreign bodies accidentally ingested mostly pass through gastrointestinal tract without any serious consequences. A definitive preoperative history of foreign body ingestion is uncertain. It was decided to do resection of the midline of abdomen and deliver the nasogastric tube. Postoperative treatment went well. Conclusion: Intestinal perforation via nasogastric tube is rare. The lack of history of ingestion and that of nasogastric tube detection preoperatively is considerable in differential diagnosis of acute abdomen, which in this case was treated surgically.
Perforation, Peritonitis, Foreign Body Ingestion
Goh BK, Chow PK, Quah HM, Ong HS, Eu KW, Ooi LL, Wong WK: Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies. World J Surg; 2006; 30(3):372-7.
Waseem A, Madina K: Intestinal perforation due to an ingested foreign body. JCPSP; 2007; 17(4): 234-235.
Yao CC, Yang CC, Liew SC, Lin CS: Small bowel perforation caused by a sharp bone: laparoscopic diagnosis and treatment. SurgLaparoscEndoscPercutanTech ; 1999 ; 9(3): 226-7.
Rodríguez-Hermosa JI, Codina-Cazador A, Sirvent JM, Martín A, Gironès J, Garsot E: Surgically treated perforations of the gastrointestinal tract caused by ingested foreign bodies. Colorectal Disease; 2008; 10(7): 701-707.
Ozel H, Topaloglu S, Yüksel BC, Avsar FM, Yildiz Y, Hengirmen S: Jejunal perforation in mentally retarded patient due to an ingested chicken bone. Hepatogastroenterology; 2003; 0(Suppl 2).
Velitchkov NG, Grigorov GI, Losanoff JE, Kjossev KT: Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases. World J Surg; 1996; 20:1001-1005.
Sarliève P, Delabrousse E, Michalakis D, Robert A, Guichard G, Kastler B: Multidetector CT diagnosis of jejunal perforation by a chicken bone. JBR-BTR; 2004, 87: 294-295.
Singh RP, Gardner JA: Perforation of the sigmoid colon by swallowed chicken bone: case reports and review of literature. IntSurg; 1981; 66(2):181-3.
Vasapollo L, Chiarot M, Gallinaro L, Papaspyropoulos V, Montesano G, Ciulli A, Bezzi M: Intestinal perforation caused by a chicken bone: apropos of a clinical case. Ann ItalChir; 1997; 68(4): 555-8.
Black,Joce M , Hokinson J . Medical surgical nursing clinical management for positive outcome. Eighth Edition, Elsevier Saunders 2009.
Smeltzer S, Bare B.G. Brunner&Suddarth's Textbook of Medical Surgical Nursing. 12th ED, Philadelphia: Lippincott Williams & Wilkins, 2010.
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