ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT THỦNG ĐƯỜNG TIÊU HÓA DO DỊ VẬT TẠI BỆNH VIỆN QUÂN Y 175

Mạnh Nguyễn Văn; Huy Đoàn Thanh; Khỏe Nguyễn Mạnh

doi:10.59354/ydth175.2024.282

Keywords:

Foreign body, Gastrointestinal tract perforation, Peritonitis

Abstract

Background: Gastrointestinal tract perforation due to foreign bodies is an uncommon emergency surgery; its clinical manifestations are so diverse that the correct clinical diagnosis is rarely made. Early diagnosis helps minimize complications and consequences.

Objectives: Describe the clinical characteristics, risk factors, type of foreign bodies and surgical treatment results of cases of gastrointestinal perforation due to foreign bodies.

Materials and methods: Research on a series of cases undergoing surgery to remove perforated foreign bodies at Military Hospital 175 from June 2019 to August 2023.

Results: In the 32 recorded cases, the median age was 50 years old with age ranging from 11 to 88. No cases of esophageal perforation were recorded, 32 cases were all located in the stomach and intestines with ileal perforation (50%). The most common type of foreign body is fish bone (65,6%). Abdominal CT-scan has high value in detecting foreign bodies (75%). Most patients had surgery and were discharged from the hospital in a stable condition, with no complications or mortality.

Conclusion: Gastrointestinal tract perforation due to FBs is uncommon, but it has a large variety of clinical manifestations. Most patients accidentally swallow foreign objects, and the main damage is perforation of the stomach and small intestine. Surgery is a radical, highly effective and safe treatment method.

References

Sarmast AH, Showkat HI, Patloo AM, Parray F, Lone R, Wani KA. Gastrointestinal tract perforations due to ingested foreign bodies; A review of 21 cases. British Journal of Medical Practitioners. 2012 Sep 1;5.

Nicolodi GC, Trippia CR, Caboclo MFFS, de Castro FG, Miller WP, de Lima RR, et al. Intestinal perforation by an ingested foreign body. Radiol Bras. 2016;49(5):295–9.

Mejri A, Yaacoubi J, Mseddi MA, Omry A. Gastrointestinal perforations by ingested foreign bodies: A preoperative diagnostic flowchart-based experience. A case series report. Int J Surg Case Rep. 2022 Jun;95:107216.

Nguyễn DH, Lê TD. Thủng ruột non do tăm tre: chẩn đoán và điều trị, nhân 1 trường hợp. Tạp chí Nghiên cứu Y học. 2021;9:170–6.

Pham QM. Đặc điểm hình ảnh cắt lớp vi tính của thủng tiêu hóa do dị vật tại Bệnh viện Hoàn Mỹ Sài Gòn. Tạp chí y dược học Cần Thơ. 2023;65:29–33.

Ngan JH, Fok PJ, Lai EC, Branicki FJ, Wong J. A prospective study on fish bone ingestion. Experience of 358 patients. Ann Surg. 1990 Apr;211(4):459–62.

Simonetti I, Puglia M, Tarotto L, Palumbo F, Esposito F, Sciuto A, et al. When traditions become dangerous: Intestinal perforation from unusual foreign body-Case report and short literature review. Eur J Radiol Open. 2019;6:152–5.