Year 2023 / Volume 115 / Number 11
Letter
Foreign body impaction between diverticula: an uncommon cause of chronic abdominal pain

653

DOI: 10.17235/reed.2023.9485/2023

Luís Santos, Marta Gravito-Soares, Elisa Gravito-Soares, Pedro Figueiredo,

Abstract
A woman in her 70s with a medical history of hypertension and dyslipidemia was admitted for colonoscopy due to long-term abdominal pain. During the procedure, a sharp cylindrical foreign body was identified in the sigmoid colon, imprisoned in two diametrically opposite diverticular orifices, with purulent drainage and exuberant reactive inflammatory tissue in each diverticulum. Carefully mobilization from both diverticular orifices into the colon lumen and safety removal were performed using a rat tooth forceps, without intercurrences. The removed foreign body corresponded to a chicken bone about 3 cm in size. The plain abdominal X-ray had no evidence of pneumoperitoneum. Empirical antibiotic therapy was started with complete resolution of abdominal pain during follow-up. Most foreign bodies lodged in the colon are treated conservatively as they typically pass without intervention, however, they can cause damage to the colonic mucosa and lead to perforation or infections (namely peritonitis, peritoneal abscesses, and fistulas).
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References
1. Ross E, McKenna P, Anderson JH. Foreign bodies in sigmoid colon diverticulosis. Clin J Gastroenterol. 2017 Dec;10(6):491-497.
2. Ikenberry SO, Jue TL, Anderson MA, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011 Jun;73(6):1085-91.
3. Komninos ID, Tsiligianni IG. Foreign body ingestion mimicking irritable bowel syndrome: a case report. J Med Case Rep. 2010 Aug 4;4:244.
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Santos L, Gravito-Soares M, Gravito-Soares E, Figueiredo P. Foreign body impaction between diverticula: an uncommon cause of chronic abdominal pain. 9485/2023


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Publication history

Received: 23/01/2023

Accepted: 25/01/2023

Online First: 31/01/2023

Published: 13/11/2023

Article Online First time: 8 days

Article editing time: 294 days


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