Modern opportunities of early diagnostics and minimally invasive surgical treatment of intestinal perforation by a foreign body

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Abstract

The article presents two cases of intestinal perforation by a foreign body rarely being the cause for “acute abdomen”. In both cases the disease resembled acute appendicitis. The introduction of endovideosurgical technologies into surgical practice contributes to early diagnostics of a gut wall perforation by a foreign body and allows performing only low-invasive surgical treatment.

About the authors

Georgii I. Sinenchenko

Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

Author for correspondence.
Email: parfenov_anton@mail.ru
SPIN-code: 9355-2073
Scopus Author ID: 6602417948

professor, head of emergency surgery Department 

Russian Federation, 3, Budapeshtskaya street, Saint-Petersburg, 192242

Vladimir G. Verbitsky

Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

Email: verbitsky1961@mail.ru
SPIN-code: 6981-0621

professor, leading researcher of emergency surgery Department 

3, Budapeshtskaya street, Saint-Petersburg, 192242

Andrey E. Demko

Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

Email: demko@emergency.spb.ru
SPIN-code: 3399-8762
Scopus Author ID: 6602311430

Deputy chief physician for surgery, Honored doctor of Russia, doctor of medical Sciences, Professor

3, Budapeshtskaya street, Saint-Petersburg, 192242

Anton O. Parfenov

Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

Email: parfenov_anton@mail.ru
SPIN-code: 1620-6415

doctor-surgeon 

3, Budapeshtskaya street, Saint-Petersburg, 192242

Aleksey V. Osipov

Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

Email: osipov@emergency.spb.ru
SPIN-code: 6196-3660

doctor-surgeon 

Russian Federation, 3, Budapeshtskaya street, Saint-Petersburg, 192242

Andrey A. Tereshichev

Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

Email: Dr_Druy@mail.ru

researcher of the Department of emergency surgery

Russian Federation, 3, Budapeshtskaya street, Saint-Petersburg, 192242

Vadim N. Novozhilov

Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

Email: avkos1@mail.ru

head of surgical Department

Russian Federation, 3, Budapeshtskaya street, Saint-Petersburg, 192242

Alexey V. Kosachev

Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

Email: avkos1@mail.ru
SPIN-code: 6137-4356

doctor-surgeon

Russian Federation, 3, Budapeshtskaya street, Saint-Petersburg, 192242

References

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  2. Yagci G, Cetiner S, Tufan T. Perforation of Meckel’s diverticulum by a chicken bone, a rare complication: Report of a case. Surg Today. 2004;34(7):606-608.
  3. Гегечкори Ю.А., Гегечкори З.Ю., Бабаев Ф.А. Особенности диагностики и лечебной тактики при инородных телах желудочно-кишечного тракта // Военно-медицинский журнал. – 1991. – № 9. – С. 67. [Gegechkori YA, Gegechkori ZY, Babayev FA. Peculiarities of diagnostics and therapeutic tactics in case of foreign bodies of the gastrointestinal tract. Mil Med Journal. 1991;(9):67. (In Russ.)]
  4. Taylor MB. Gastrointestinal Emergencies. Ed. M. Taylor. Williams and Wilkins; 1997. P. 691–698.
  5. Кулачек Ф.Г., Головко Ф.Э., Кудла А.А., и др. Инородные тела желудка и кишечника // Клиническая хирургия. – 1991. – № 11. – С. 39–41. [Kulachek FG, Golovko FE, Kudla AA, et al. Inorodnye tela zheludka i kishech-nika. Klinicheskaya hirurgiya. 1991;(11):39-41. (In Russ.)]
  6. Budnick LD. Toothpick-related injuries in the United States, 1979 through 1982. JAMA. 1984;252(6):796-797.
  7. Ситников В.Н., Турбин М.В., Петренко А.В., Митюрин М.С. Опыт лапароскопии в дифференциальной диагностике и лечении острого аппендицита // Тезисы VIII съезда РОЭХ. – М., 2005. – C. 43. [Sitnikov VN, Turbin MV, Petrenko AV, Maturin MS. Experience of laparoscopy in the differential diagnosis and treatment of acute appendicitis. VIII Congress of ROAH. (Conference proceedings) Мoscow; 2005. P. 43. (In Russ.)]

Supplementary files

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2. Fig. 1. Perforation of the sigmoid colon by a foreign body

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3. Fig. 2. Foreign body (toothpick)

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4. Fig. 3. Meckel’s diverticulum perforated by a bone fish

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5. Fig. 4. Foreign body (fish bone)

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Copyright (c) 2019 Sinenchenko G.I., Verbitsky V.G., Demko A.E., Parfenov A.O., Osipov A.V., Tereshichev A.A., Novozhilov V.N., Kosachev A.V.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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