Diagnostic imaging of intra-abdominal foreign bodies

Authors

  • Antonio Belaunde-Clausell Universidad de Ciencias Médicas de las Fuerzas Armadas Revolucionarias. Hospital Militar Central “Dr. Carlos J. Finlay”. La Habana https://orcid.org/0000-0002-5602-0188
  • Ernesto Enrique Rodríguez-Rodríguez Universidad de Ciencias Médicas de las Fuerzas Armadas Revolucionarias. Hospital Militar Central “Dr. Carlos J. Finlay”. La Habana https://orcid.org/0000-0003-4001-7977
  • Yanet Romero-Reinaldo Universidad de Ciencias Médicas de las Fuerzas Armadas Revolucionarias. Hospital Militar Central “Dr. Luis Días Soto”. La Habana https://orcid.org/0000-0001-9349-6831

Keywords:

Foreign Bodies, Abdomen, Abdominal Cavity, Radiography, Abdominal, Tomography, Ultrasonography.

Abstract

Introduction: intra-abdominal foreign bodies constitute a health risk, and their etiology is variable, being, for example, accidental or iatrogenic.

Case Report: the report of two female patients, the first one 50 years old, who presented with pain in the lower abdomen with 6 months of evolution, and referred to previous surgery for uterine myoma. Abdominal ultrasound and computed axial tomography identified a heterogeneous image in the mesogastrium that occupied the entire mesogastrium. Contrast radiography showed a fixed intestinal loop at the level of the jejunum with a filling defect. After surgery, a surgical compress resulting from the gynecological intervention was detected. The second case was a 52-year-old female patient who presented with a dark stool like coffee grounds. The patient reported having accidentally ingested a chicken bone five years ago. A simple abdominal CT scan was performed, which showed marked irregular thickening of 7 mm of the wall of a thin iliac loop, which showed a heterogeneous image with a hypodense center. Surgical intervention was performed with extraction of the foreign body, which was related to the chicken bone.

Conclusions: the diagnosis of intra-abdominal foreign body is an entity that requires a high degree of suspicion, and therefore should be considered in all patients with digestive tract symptoms. Imaging studies are a powerful tool for accurate diagnosis. Adverse health events caused by intra-abdominal foreign bodies require immediate specialized assistance.

Downloads

Download data is not yet available.

References

1. Santander Flores SA, Mata Quintero CJ, O’Farrill Anzures R, González Villegas P, Calvo Vázquez I, Campos Serna EI. Ingestión accidental de prótesis dental, panoramas en el manejo y evolución. Reporte de casos. Cirugía y Cirujanos [Internet]. 2017 [citado 2/12/2020]; 85(4):350-355. Disponible en: https://www.sciencedirect.com/science/article/pii/S0009741116300342

2. González Aguilar JA, Cué Toledo O, Sánchez Prtela CA. Cuerpo extraño en intestino delgado. Revista Cubana de Cirugía [Internet]. 2019 [citado 2/12/2020]; 58(2):e648. Disponible en: http://www.revcirugia.sld.cu/index.php/cir/article/view/648

3. González Ortega JM, González Díaz A, González Jústiz AL, Fleites Acosta A, Díaz Valdés M, González Sánchez A. Textiloma intra-abdominal. Reporte de un caso. Rev Méd Electrón [Internet]. 2017 [citado 2/12/2020]; 39(5): [aprox. 9 p.]. Disponible en: http://www.revmedicaelectronica.sld.cu/index.php/rme/article/view/1775/html_332

4. Rodríguez Gil E, Pun Jaimes RI, Velázquez López I. Pyogenic hepatic abscess secondary to a foreign body. Rev Cubana Cir [Internet]. 2017 [citado 2/12/2020]; 56(3): 1-7. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932017000300007&lng=es.

5. Conrado Jiménez H, Mauricio Martínez C, Maduro DA, González JC, Suaza C. Apendicitis aguda perforada secundaria a cuerpo extraño: reporte de caso. Revista Colombiana de Cirugía [Internet]. 2019 [citado 2/12/2020]; 34 (2): 199-203. Disponible en: https://www.redalyc.org/journal/3555/355559948012/movil/

6. Carvajal Balaguera J, Camuñas Segovia J, Martín García-Almenta M, Oliart Delgado de Torre S, Peña Gamarra L, Fernández Isabel P, et al. Material quirúrgico retenido tras cirugía abdominal: importancia clínica y recomendaciones preventivas. Rev Mapfre Medicina [Internet]. 2005 [citado 2/12/2020]; 16: 298-303. Disponible en: https://app.mapfre.com/ccm/content/documentos/fundacion/salud/revista-medicina/vol16-n4-art8-material-quirurgico.PDF

7. Sánchez Vallejo G, Osorio Correa EI, Barrera López AM, Cardona CA. Cuerpos extraños en tracto gastrointestinal asociados a trastorno mental. Revista Colombiana de Gastroenterología [Internet]. 2009 [citado 2/12/2020]; 24(1):79-85. Disponible en: https://www.redalyc.org/pdf/3377/337731591012.pdf

8. Contreras Moreno JD, Saldaña Dominguez Y, Jiménez Romero MA, Seseña López D, Corral Medina A, Zarate Guzmán AM. Cuerpos extraños, del descuido a la emergencia. Diagnóstico radiográfico oportuno y revisión bibliográfica. Anales de Radiología México [Internet]. 2002 [citado 2/12/2020]; 4:557-564. Disponible en: https://www.medigraphic.com/pdfs/anaradmex/arm-2002/arm024c.pdf

9. Lubinus Badillo FG, Rey CA, López Martínez LA, Villareal Ibáñez ED, Vera Campos SN. Cuerpos extraños de presentación atípica: presentación de casos. Rev Colomb Radiol [Internet]. 2019 [citado 2/12/2020]; 30(3): 5199-202. Disponible en: https://www.webcir.org/revistavirtual/junio2020/2_col_cuerpos_extranos.php

10. Cordoves Almaguer Y. Reporte de un paciente con cuerpo extraño en apéndice cecal. CCM [Internet]. 2020 [citado 2/12/2020]; 24(1):[aprox. 4 p.]. Disponible en: http://revcocmed.sld.cu/index.php/cocmed/article/view/2885

11. Zamora Soler JA, Maturana Ibáñez V. Obstrucción intestinal por cuerpo extraño en imagen tridimensional. Revista de Cirugía [Internet]. 2019[citado 2/12/2020]; 71 (4): [aprox. 9 p.]. Disponible en: https://scielo.conicyt.cl/scielo.php?pid=S2452-45492019000400283&script=sci_arttext&tlng=en

12. Hernández-Agüero M, Quiroga-Meriño LE, Gómez-Agüero E, Estrada-Brizuela Y. Perforación del colon descendente por cuerpo extraño: presentación de un caso. AMC [Internet]. 2020 [citado 10/09/2021]; 24(6):e7192. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552020000600012&lng=es

13. Alfonso Borráez O, Alfonso Borráez B, Orozco M, Matzalik G. Cuerpos extraños en abdomen: presentación de casos y revisión bibliográfica Revista Colombiana de Cirugía [Internet]. 2009 [citado 2/12/2020]; 24(2):114-122. Disponible en: https://www.redalyc.org/pdf/3555/355534489003

Downloads

Published

2021-09-21

How to Cite

1.
Belaunde-Clausell A, Rodríguez-Rodríguez EE, Romero-Reinaldo Y. Diagnostic imaging of intra-abdominal foreign bodies. Univ. Méd. Pinareña [Internet]. 2021 Sep. 21 [cited 2025 Apr. 15];18(3):e671. Available from: https://revgaleno.sld.cu/index.php/ump/article/view/671

Issue

Vol. 18 No. 3 (2022): Septiembre-Diciembre

Section

Case report

License

Authors who have published with this journal accept the following terms: authors will retain their copyright and guarantee the journal the right of first publication of their work, which will be simultaneously subject to the Creative Commons recognition license that allows third parties to share the work as long as its author is indicated and its first publication is this journal. Authors may adopt other non-exclusive license agreements for the distribution of the version of the published article (e.g., deposit it in an institutional telematic archive or publish it in a monographic volume) provided that the initial publication in this journal is indicated. Authors are permitted and encouraged to disseminate their article using Internet (e.g., in institutional telematic archives or on their website) before and during the submission process, which may lead to interesting exchanges and increased citations of the published work. (See The Effect of Open Access).