[Intestinal foreign body with sigmoid perforation in an area of carcinomatous stenosis: incidental finding or etiology?].
Ingestion of a foreign body is a common incident. In most cases it rarely produces symptoms, but sometimes may cause severe complications such as abscess formation, obstruction or perforation. A definite diagnosis can be difficult to obtain for the following reasons: 1. the past history doesn't give any clue; 2. the symptoms are veiled by another intestinal disease; 3. radio opaquity of the foreign body is absent; 4. complications can mimic different symptoms inspite of their unique etiology. The following case reports a patient with an intestinal perforation, where a foreign body and a stenosis, caused by a sigma neoplasm, were simultaneously present. Histological findings showed that the foreign body, not the neoplasm, was causing the perforation, whereas for the underlying disease it only was an incidental finding.
Stiefel
D
D
Chirurgische Klinik, Spital Bülach.
Muff
B
B
Neff
U
U
D000230:Adenocarcinoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D012809:Colon, Sigmoid / Q000473:pathology / Q000601:surgery; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications* / Q000473:pathology / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012810:Sigmoid Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012811:Sigmoid Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery