Acute mechanical intestinal obstruction due to foreign body ingestion

Abstract

Introduction: Foreign body ingestion is usually occurs accidenatlly and is a common condition in childhood, but it is rarely seen in adults and is frequently encountered in people with mental retardation and psychiatric disease. The outcome is usually defecation of the ingested materials but rarely requires surgial intervention. 

Case Report: A 33-year-old male patient was admitted to the emergency department with the complaint of constipation as a result of swallowing about 1000 plastic buttons yesterday.  His acute mechanical intestinal obstruction was alleviated with conservative treatment and the patient discharged with recommendations.

Conclusion: The number, shape, size and time of ingestion determine the mode of treatment. There are three main principles in treatment. Endoscopic retraction, conservative follow-up and surgical intervention. In addition to, tomography should be considered as an option for foreign bodies that can not be visualized with direct radiography.

Keywords

• Acute mechanical intestinal obstruction,foreign body ingestion,emergency department

Supporting Institution

The authors declared that this study has received no financial support.

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