A Prokop1, H Stepper2, S Koll3, M Chmielnicki1. 1. Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Kliniken Sindelfingen, Klinikverbund Südwest. 2. Apotheke, Kliniken Sindelfingen, Klinikverbund Südwest. 3. Radiologie, Kliniken Sindelfingen, Klinikverbund Südwest.
Abstract
BACKGROUND: Pills in sharp packaging that are accidentally swallowed (blisters) can cause perforations in the gastrointestinal tract, which are only clinically apparent after the emergence of mediastinitis or peritonitis. Mortality is high. PATIENTS: We have seen two cases in cognitively limited patients, one with oesophageal and one with ileal perforation. RESULTS: Despite surgery, the patient with oesophageal perforation died 3 weeks later of multi-organ failure. The patient with ileal perforation survived sepsis after multiple procedures. CONCLUSION: As a consequence, a hospital-wide policy was implemented prohibiting the issue of tablets in blister packaging at the bedside. No more cases have emerged since that time. Georg Thieme Verlag KG Stuttgart · New York.
BACKGROUND: Pills in sharp packaging that are accidentally swallowed (blisters) can cause perforations in the gastrointestinal tract, which are only clinically apparent after the emergence of mediastinitis or peritonitis. Mortality is high. PATIENTS: We have seen two cases in cognitively limited patients, one with oesophageal and one with ileal perforation. RESULTS: Despite surgery, the patient with oesophageal perforation died 3 weeks later of multi-organ failure. The patient with ileal perforation survived sepsis after multiple procedures. CONCLUSION: As a consequence, a hospital-wide policy was implemented prohibiting the issue of tablets in blister packaging at the bedside. No more cases have emerged since that time. Georg Thieme Verlag KG Stuttgart · New York.
Authors: Francesco Fleres; Antonio Ieni; Edoardo Saladino; Giuseppe Speciale; Michele Aspromonte; Antonio Cannaò; Antonio Macrì Journal: World J Clin Cases Date: 2018-09-26 Impact factor: 1.337