Yanowsky-Reyes G, Trujillo-Ponce SA, Orozco-Pérez J, Santana-Ortiz R, Damián-Negrete RM, Rodríguez-Franco E, Quezada- Figueroa NA, Plascencia AM, Sandoval-Tena MM, Flores-Arévalo KF, González-Rapalo JA, Padilla-Meza LG

Language: Spanish
References: 5
Page: 279-282
PDF size: 548.59 Kb.

ABSTRACT

More than 90% of foreign bodies ingested pass through the entire gastrointestinal tract from days to weeks later. The esophagus, the pylorus and the ileocecal valve are anatomical strictures that can stop their passage with a morbidity and mortality of up to 50%
Case report. A 9-year-old male admitted to the emergency room for abdominal pain of 2 weeks of evolution, distension and hematemesis, was managed with an antibiotic for suspected gastrointestinal infection and discharged; without presenting improvement, he returned to the emergency department due to increased pain, abdominal distension and melanogenic evacuations, high gastrointestinal endoscopy was performed, which reported duodenal ulcer, was managed with proton pump inhibitor; However, the patient persisted with intestinal sub-occlusion data, abdominal radiography showing opaque radiopaque images in the pelvic cavity, computerized axial tomography (CT) of the abdomen, where a hyperintense image was observed at the level of the terminal ileum compatible with foreign body, three-dimensional reconstruction was requested, which showed a circular image in the terminal ileum near the ileocecal valve, compatible with a plastic suction cup, which was ingested 4 months previously, without referring symptomatology. Due to the absence of peritoneal irritation data and the location of the foreign body, it was decided to take a colonoscopy. The foreign body was located 10 cm from the valve in the terminal ileum, which occludes 100% of the lumen, it was extracted by multiple maneuvers with a polypectomy loop, the patient did not present complications, in revision colonoscopy He found edema and erythema of the mucosa with little bleeding. Intestinal rest was given for 3 days and then the oral route was reinitiated and it was discharged without complications

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