Abstract
Foreign body ingestion is seen most commonly in children aged 6 months to 6 years in about 80% of cases. In adults, intentional foreign object ingestion occurs mostly among patients with altered sensorium, psychiatric disorders and patients seeking secondary gain. The most commonly ingested foreign bodies in adults are bones, fish bones, dentures and food bolus. Majority of the foreign objects will pass spontaneously. However, large and sharp/pointed foreign bodies may get impacted, leading to various complications. Therefore, large and sharp/pointed objects are recommended for removal either by endoscopy or surgery. We present a case of a Nigerian who presented with acute abdomen secondary to ingested broomstick which was removed at endoscopy.
Keywords: Acute abdomen; gastric injury; broomstick
Résumé
L’ingestion de corps étranger est observée le plus souvent chez les enfants âgés de 6 mois à 6 ans dans environ 80% des cas. Chez l’adulte, l’ingestion intentionnelle d’objets étrangers se produit principalement chez les patients présentant un sensoriel altéré, des troubles psychiatriques et les patients recherchant un gain secondaire. Les corps étrangers les plus couramment ingérés chez les adultes sont les os, les os de poisson, les prothèses dentaires et le bol alimentaire. La majorité des objets étrangers passera spontanément. Cependant, des corps étrangers larges et pointus peuvent être impactés, entraînant de diverses complications. De ce fait, les objets larges et pointus sont recommandés pour le retrait, soit par endoscopie ou par chirurgie. Nous présentons le cas d’un Nigérian présentant un abdomen aigu secondaire à l’ingestion d’une manche de balai qui a été retiré par endoscopie.
Mots clés: Abdomen aigu; Lésion gastrique; Manche de balai
Correspondence: Dr. Adegboyega Akere, Department of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria, E-mail: adeakere@yahoo.co.uk
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