Rui Morais1, Margarida Marques2, Guilherme Macedo2. 1. Gastroenterology Department, Centro Hospitalar Universitário de São João, Porto. Al. Prof. Hernâni Monteiro, 4200 - 319, Porto, Portugal. rui_morais20@hotmail.com. 2. Gastroenterology Department, Centro Hospitalar Universitário de São João, Porto. Al. Prof. Hernâni Monteiro, 4200 - 319, Porto, Portugal.
Abstract
BACKGROUND: Although the ingestion of foreign bodies is relatively common in the general population, intestinal perforation is rare but usually requires emergent surgery. CASE PRESENTATION: We report a case of an 87-year-old woman that presented with a foreign body-associated colonic diverticular perforation. After multidisciplinary discussion, the foreign body was removed and the perforation was closed using an over-the-scope-clip. Percutaneous drainage of an adjacent intra-abdominal collection was performed. The patient had a favorable clinical evolution and was discharged 15 days after the endoscopic procedure. CONCLUSION: This case highlights the possible growing role of endoscopic treatment of foreign body-associated colonic perforations, especially in high-risk surgical patients.
BACKGROUND: Although the ingestion of foreign bodies is relatively common in the general population, intestinal perforation is rare but usually requires emergent surgery. CASE PRESENTATION: We report a case of an 87-year-old woman that presented with a foreign body-associated colonic diverticular perforation. After multidisciplinary discussion, the foreign body was removed and the perforation was closed using an over-the-scope-clip. Percutaneous drainage of an adjacent intra-abdominal collection was performed. The patient had a favorable clinical evolution and was discharged 15 days after the endoscopic procedure. CONCLUSION: This case highlights the possible growing role of endoscopic treatment of foreign body-associated colonic perforations, especially in high-risk surgical patients.
Authors: J I Rodríguez-Hermosa; A Codina-Cazador; J M Sirvent; A Martín; J Gironès; E Garsot Journal: Colorectal Dis Date: 2007-11-12 Impact factor: 3.788