Scientific Online Resource System

Scripta Scientifica Medica

Ingested fork impacted in stomach - challenge for risky endoscopy or primary surgery

Kirien Kjossev, Ventsislav Mutafchiyski, Ivan Teodosiev, Georgi Popivanov

Abstract

The ingestion of metallic (radiopaque) foreign bodies remains a common problem amongst prison population. A 34-year-old male prisoner swallowed a dinner fork in an attempt to escape justice. Attempts for endoscopic extraction were unsuccessful. The patient underwent laparotomy and via gastrotomy a 15-cm length fork was removed. Based upon our previous experience, we recommend immediate surgical removal if the attempt for endoscopic retrieval had failed. Prevention measures in prison inmates may significantly decrease the incidence rate.

Keywords

foreign body; removal; surgery; ingested fork; prisoners

Full Text


References

Bisharat M, O`Donnell ME, Gibson N, Mitchell M, Refsum SR, Carey PD, Spence RAJ, Lee J. Foreign body ingestion in prisoners - The Belfast experience. Ulster Med J, 2008;77:110-114.

Velitchkov NG, Grigorov GI, Losanoff JE, Kjossev KT. Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases. World J Surg, 1996;20:1001-1005.

Eisen GM, Baron TH, Dominitz JA et al. American Society for Gastrointestinal Endoscopy. .Guide line for the management of ingested foreign bodies. Gastrointest Endosc, 2002; 55:802-806.

El Hajj, Clarke BW, Slivka A. Retrieval of a long foreign body from the stomach with a duodenoscope. Endoscopy, 2011;43:E107-E108.

Kurzbauma A, Nicolab A, Liebermana L, Saforia G. Laparoscopic removal of a swallowed dinner fork from the stomach: a minimally-invasive management for swallowed gastrointestinal foreign bodies. Israeli J Emerg Med, 2006; 6:33-35.




DOI: http://dx.doi.org/10.14748/ssm.v47i1.1069
Article Tools
Email this article (Login required)
About The Authors

Kirien Kjossev
Military medical academy of Sofia
Bulgaria

Ventsislav Mutafchiyski
Military medical academy of Sofia
Bulgaria

Ivan Teodosiev
Military medical academy of Sofia
Bulgaria

Georgi Popivanov
Military medical academy of Sofia
Bulgaria

Font Size


|