A Case of Gastric Perforation Presenting with Secondary
Localized Peritonitis Due to Bamboo in Stomach |
Ji Hyoun Seo, Ji Young Hwang, Ki Su Kang, Chan-Hoo Park, Hyang-Ok Woo, Myoung Bum Choi, Hee-Shang Youn |
Departments of Pediatrics, College of Medicine, Gyeongsang National University, Chinju, Korea |
국소적 복막염으로 발현한 대나무 가지에 의한 위천공 1례 |
서지현, 황지영, 강기수, 박찬후, 우향옥, 최명범, 윤희상 |
경상대학교 의과대학 소아과학교실 |
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Abstract |
Perforation after foreign body ingestion is rare. We report a 25-month-old girl who was diagnosed with a stomach perforation with secondary localized peritonitis caused by long, sharp bamboo. On admission, she had abdominal pain and fever. Simple abdominal erect & supine X-ray, abdominal ultrasonogram and computed tomography scan were normal. On the 6 th hospital day, gastrofiberoscopy was performed because a sharp mass was palpated by doctor on abdominal examination. Endoscopic findings revealed a 8 cm-long sharp bamboo tip was pierced to the posterior wall of antrum. This foreign body was removed with Olympus FG-8L alligator forcep. She was managed with NPO and prompt intravenous antibiotics and discharged with clinical improvement. |
Key Words:
Gastric perforation, Foreign body, Secondary peritonitis, Gastrofiberoscopy |
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