Available online Jul 18, 2018.
[ Report ] Volume 25, Issue 4, 2016, Pages 395-400
INTRODUCTION: Foreign body ingestion is a common clinical problem in early childhood. However, it may
occur even in adults, unknowingly especially in depressed patients. Most ingested foreign bodies entering the
stomach pass through the gastrointestinal tract uneventfully. Management protocol may vary depending on patient
PRESENTATION OF CASE: A 19-year-old male who presented with a history of sudden abdominal pain and
no abdominal distension following ingestion of door bolt .He was pale. His pulse rate was 76 per minute and blood
pressure was 120/60 mmHg. Plain radiograph done on first day and second showed impacted L-shaped metallic
object at the right iliac fossa region.
He was resuscitated and had exploratory laparotomy on second day after presentation. The findings were normal
peritoneal fluid, impacted door bolt at mid portion of transverse colon. He had enterostomy and foreign body
removal, analgesics and antibiotics. His outpatient follow-up has been uneventful.
DISCUSSION: This is to report a case metallic foreign body ingestion with colonic impaction in 19 year old
patient with the hope of increasing awareness especially in patients with depressive episodes.
CONCLUSION: Impacted metallic foreign body in colon following ingestion, though rare but can occur. Careful
resuscitation and skillful surgical intervention will improve outcome.
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Volume 25 | Issue 4
Page Nos. 395-400
Online since Oct 3, 2017