A case of dysphagia required two surgical operations due to difficulty in identifying plastic foreign bodies

DOI
  • Maekawa Natsuho
    Department of Emergency and Clitical Care Medicine, Saiseikai Yokohama Tobu Hospital Department of Digestive Surgery, Saiseikai Yokohama Tobu Hospital
  • Kazamaki Taku
    Department of Emergency and Clitical Care Medicine, Saiseikai Yokohama Tobu Hospital
  • Matohara Naoki
    Department of Emergency and Clitical Care Medicine, Saiseikai Yokohama Tobu Hospital
  • Nakazawa Toshiki
    Department of Emergency and Clitical Care Medicine, Saiseikai Yokohama Tobu Hospital Department of Digestive Surgery, Saiseikai Yokohama Tobu Hospital
  • Kumamoto Yudai
    Department of Emergency and Clitical Care Medicine, Saiseikai Yokohama Tobu Hospital Department of Digestive Surgery, Saiseikai Yokohama Tobu Hospital
  • Kawai Yoshiaki
    Department of Emergency and Clitical Care Medicine, Saiseikai Yokohama Tobu Hospital
  • Yasutake Yuma
    Department of Emergency and Clitical Care Medicine, Saiseikai Yokohama Tobu Hospital
  • Tsuchiya Ayumi
    Department of Emergency and Clitical Care Medicine, Saiseikai Yokohama Tobu Hospital
  • Hiroe Nao
    Department of Emergency and Clitical Care Medicine, Saiseikai Yokohama Tobu Hospital
  • Matsumoto Shoukei
    Department of Emergency and Clitical Care Medicine, Saiseikai Yokohama Tobu Hospital
  • Shimizu Masayuki
    Department of Emergency and Clitical Care Medicine, Saiseikai Yokohama Tobu Hospital
  • Egawa Tomohisa
    Department of Digestive Surgery, Saiseikai Yokohama Tobu Hospital

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Other Title
  • プラスチック製異物の同定が困難であったため外科的摘除を2回要した異食症の1例

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Abstract

Gastrointestinal foreign bodies （GIFBs） are often caused by accidental ingestion in children or the elderly with dementia, or by pica secondary to psychological disorders. The surgical indication for GIFBs is limited because they could be easily removed by the upper gastrointestinal endoscopy （UGIE） if they remain in the upper gastrointestinal tract or naturally evacuated with feces even if they are not removable. A few cases, however, need surgical interventions due to GIFB's size, shape, location, or a number and could be associated with serious complications. We hereby report a case of massive GIFBs that could not be removed by UGIE and needs surgery, followed by a sigmoid colon perforation three months later.

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