RT Journal Article
SR Electronic
T1 Plastic bag clip discovered in partial colectomy accompanying proposal for phylogenic plastic bag clip classification
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr0220113869
DO 10.1136/bcr.02.2011.3869
VO 2011
A1 Larisa M Lehmer
A1 Bruce D Ragsdale
A1 John Daniel
A1 Edwin Hayashi
A1 Robert Kvalstad
YR 2011
UL http://casereports.bmj.com/content/2011/bcr.02.2011.3869.abstract
AB A plastic bag clip was incidentally found anchored in the mucosa of a partial colectomy specimen 2.6 cm proximal to a ruptured diverticulum for which the patient, a mentally retarded, diabetic, 58-year-old man, underwent surgery. Over 20 cases of accidental ingestion of plastic bag clips have been published. Known complications include small bowel perforation, obstruction, dysphagia, gastrointestinal bleeding and colonic impaction. Preoperative diagnosis of plastic clips lodged in the gastrointestinal tract is frustrated due to radiographic translucency. This occult threat could likely be prevented by the design of gastrointestinally safe, plastic-bag-sealing devices. Presented here is a morphologically based classification of bag clips as a possible guide for determining the most hazardous varieties and to aid further discussions of their impact on health.