Ingestion of foreign bodies is a frequent reason for consultation or admission to the emergency room. It is frequently accidental and involves children whose peak age varies between 9 months and three years. Reported cases of intestinal perforation by stone are rare. Herein we report one case of ileal perforation with a date palm stone discovered during the treatment of an emergency strangulated umbilical hernia in a 2-year-old patient. Clinically, there was a painful, irreducible, non-expansive umbilical swelling with coughing and vomiting. The other hernial orifices were free. Temperature was 36°C, respiratory rate 98 movements per minute, pulse rate 23 beats per minute. Biologically, hemoglobin was 11.4 G/dl, white blood cells were 9 giga/l. The diagnosis of strangulated umbilical hernia was retained. Intraoperatively, we found a small loop incarcerated in the umbilical ring and perforated in two places by a date palm stone. We proceeded with extraction of the stone, resection with both holes, followed by terminal ileo-ileal anastomosis. The postoperative course was simple and no complications were noted after a 2-year follow-up.
| Published in | Journal of Surgery (Volume 9, Issue 5) |
| DOI | 10.11648/j.js.20210905.13 |
| Page(s) | 230-232 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Ingestion, Date Palm Stone, Ileal Perforation, Management
| [1] | Weick J, Moore D. (2005) An usual case of umbilical hernia rupture with evisceration. Pediatric surg; 40: 33-35. |
| [2] | Arana A, Hauser B. (2001) Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr; 160: 468-72. |
| [3] | Paul G, Buysschaert M, DE Cannière L, Trigaux JP, Donckier J, Coche E. (1991) Abcès du foie et corps étranger appendiculaire. Gastro-entérologie Clinique et Biologique; 15 (10): 762 765. |
| [4] | Eisen GM, Baron TH, Dominitz JA, et al. (2002) Guideline for the management of ingested foreign bodies. Gastrointest Endosc; 55: 802-806. |
| [5] | Michaud L, Bellaiche M, Olives JP. (2009) Ingestion de corps étrangers chez l’enfant. Recommandations du Groupe francophone d’hépatologie, gastroentérologie et nutrition pédiatriques. Arch Pediatr; 16: 54-61. |
| [6] | Haennig A, Bournet B, Jean-Pierre O, Buscail L. (2011) Conduite à tenir devant une ingestion de corps étrangers. Hepato Gastro; 18: 249-257. |
| [7] | Lovece A, Asti E, Andrea Sironi A, et al. (2014) Toothpick ingestion complicated by cecal perforation: case report and literature review. World J Emerg Surg; 9: 63-5. |
| [8] | Su YJ, Lai YC, Chen CC, et al. (2009) Intra-abdominal abscess caused by toothpick injury. Int J Infect Dis; 13 (5): 264-6. |
| [9] | Lheureux P, Cavenaille JC, Cornil A, (1996) Nouvelle M, Sermon F, Leduc D, Arkenasi R. Ingestion de corps étranger: attitude pratique. ReanimUrg; 5: 637-53. |
| [10] | Strain MH, Chisevescu DM, Potopea S. (2011) Successful Endoscopic Treatment of an Unusual Cause of Lower Gastrointestinal Bleeding Using the OVESCO System. J Gastrointestin Liver Dis; 20 (1): 85-7. |
| [11] | Takada M, Kashiwagi R, Sakane M, et al. (2000) 3D-CT diagnosis for ingested foreign bodies. Am J Emerg Med; 18: 192-193. |
| [12] | Sealock RJ, Sabounchi S, Graham DY. (2013) Toothpick Perforation of the Intestines Presenting as Recurrent Abdominal Pain: Possible Roles of Abdominal Ultrasound and MRI. Clin Med Insights Case Rep; 6: 131-5. |
| [13] | Djodjo M, Botti K, Ebouat KMEV, Ohayon P, Yapo-Etté H, Qautrehomme G. (2013) Prise en charge médicale des détenus ayant Ingéré volontairement des corps étrangers: expérience de l’ucsa de la maison d’arrêt de Nice relative à 83 corps étrangers ingérés. Rev Int Sc Méd; 15 (3): 171-177. |
| [14] | Ayaka K, Matsuo S, handa K, et al. (2010) Intestinal Perforation by Ingested Foreign Bodies. Acta medica Nagasaki; 55 (1): 1-5. |
| [15] | Chichom-Mefire A. (2015) Perforation of the splenic flexure of the colon by an ingested wooden toothpick. J Surg Case Rep; 1: 1-2. |
| [16] | Pinero MA, Fernandez Hernandez JA, Carrasco Prats M, et al. (2000) Intestinal perforation by foreign bodies. Eur J Surgery; 166: 307-309. |
APA Style
Fofana Naby, Kondano Saa Yawo, Mamy Gnan Francis, Oulare Ibrahima, Soumaoro Labile Togba, et al. (2021). A Date Palm Stone Ileal Perforation Discovered During Treatment of a Strangulated Umbilical Hernia. Journal of Surgery, 9(5), 230-232. https://doi.org/10.11648/j.js.20210905.13
ACS Style
Fofana Naby; Kondano Saa Yawo; Mamy Gnan Francis; Oulare Ibrahima; Soumaoro Labile Togba, et al. A Date Palm Stone Ileal Perforation Discovered During Treatment of a Strangulated Umbilical Hernia. J. Surg. 2021, 9(5), 230-232. doi: 10.11648/j.js.20210905.13
AMA Style
Fofana Naby, Kondano Saa Yawo, Mamy Gnan Francis, Oulare Ibrahima, Soumaoro Labile Togba, et al. A Date Palm Stone Ileal Perforation Discovered During Treatment of a Strangulated Umbilical Hernia. J Surg. 2021;9(5):230-232. doi: 10.11648/j.js.20210905.13
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.js.20210905.13,
author = {Fofana Naby and Kondano Saa Yawo and Mamy Gnan Francis and Oulare Ibrahima and Soumaoro Labile Togba and Fofana Houssein and Toure Aboubacar and Diallo Aissatou Taran},
title = {A Date Palm Stone Ileal Perforation Discovered During Treatment of a Strangulated Umbilical Hernia},
journal = {Journal of Surgery},
volume = {9},
number = {5},
pages = {230-232},
doi = {10.11648/j.js.20210905.13},
url = {https://doi.org/10.11648/j.js.20210905.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210905.13},
abstract = {Ingestion of foreign bodies is a frequent reason for consultation or admission to the emergency room. It is frequently accidental and involves children whose peak age varies between 9 months and three years. Reported cases of intestinal perforation by stone are rare. Herein we report one case of ileal perforation with a date palm stone discovered during the treatment of an emergency strangulated umbilical hernia in a 2-year-old patient. Clinically, there was a painful, irreducible, non-expansive umbilical swelling with coughing and vomiting. The other hernial orifices were free. Temperature was 36°C, respiratory rate 98 movements per minute, pulse rate 23 beats per minute. Biologically, hemoglobin was 11.4 G/dl, white blood cells were 9 giga/l. The diagnosis of strangulated umbilical hernia was retained. Intraoperatively, we found a small loop incarcerated in the umbilical ring and perforated in two places by a date palm stone. We proceeded with extraction of the stone, resection with both holes, followed by terminal ileo-ileal anastomosis. The postoperative course was simple and no complications were noted after a 2-year follow-up.},
year = {2021}
}
TY - JOUR T1 - A Date Palm Stone Ileal Perforation Discovered During Treatment of a Strangulated Umbilical Hernia AU - Fofana Naby AU - Kondano Saa Yawo AU - Mamy Gnan Francis AU - Oulare Ibrahima AU - Soumaoro Labile Togba AU - Fofana Houssein AU - Toure Aboubacar AU - Diallo Aissatou Taran Y1 - 2021/09/15 PY - 2021 N1 - https://doi.org/10.11648/j.js.20210905.13 DO - 10.11648/j.js.20210905.13 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 230 EP - 232 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20210905.13 AB - Ingestion of foreign bodies is a frequent reason for consultation or admission to the emergency room. It is frequently accidental and involves children whose peak age varies between 9 months and three years. Reported cases of intestinal perforation by stone are rare. Herein we report one case of ileal perforation with a date palm stone discovered during the treatment of an emergency strangulated umbilical hernia in a 2-year-old patient. Clinically, there was a painful, irreducible, non-expansive umbilical swelling with coughing and vomiting. The other hernial orifices were free. Temperature was 36°C, respiratory rate 98 movements per minute, pulse rate 23 beats per minute. Biologically, hemoglobin was 11.4 G/dl, white blood cells were 9 giga/l. The diagnosis of strangulated umbilical hernia was retained. Intraoperatively, we found a small loop incarcerated in the umbilical ring and perforated in two places by a date palm stone. We proceeded with extraction of the stone, resection with both holes, followed by terminal ileo-ileal anastomosis. The postoperative course was simple and no complications were noted after a 2-year follow-up. VL - 9 IS - 5 ER -
Email: