Article Text

Download PDFPDF
CASE REPORT
Double duodenal perforation following foreign body ingestion
  1. Andrew W Gardner,
  2. Rami W Radwan,
  3. Miles C Allison,
  4. Rhodri J Codd
  1. Department of General Surgery, Aneurin Bevan University Health Board, Newport, UK
  1. Correspondence to Rami W Radwan, radwanr{at}cardiff.ac.uk

Summary

Intentional ingestion of a foreign body in adults is a rare clinical presentation. This case is one of a 27-year-old Sudanese man who presented having swallowed a ballpoint pen intentionally. Clinical examination and plain chest radiograph exhibited no signs indicative of perforation with only a raised C reactive protein identified on blood tests. Subsequent gastroscopy revealed that the pen had simultaneously perforated the duodenum at both D1 and D3 requiring removal via a laparotomy. The patient fully recovered and was discharged 2 weeks postoperatively following psychiatric input.

  • general surgery
  • gastrointestinal surgery

Statistics from Altmetric.com

Footnotes

  • Contributors AWG: literature search and writing report. RWR: literature search and editing. RJC: consultant involved in patient care. MCA: consultant involved in patient care.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.