title: Laparoscopic removal of bone fragment causing localized peritonitis by intestinal perforation: a report of 2 cases.
abstract: The ingestion of sharp bone structures such as fish and chicken bones could cause peritonitis by penetration of the intestinal tract. However, the precise diagnosis of this occurrence is rarely made preoperatively because most patients do not remember ingesting such materials and the clinical symptoms are usually nonspecific. Laparoscopy provides an accurate diagnosis for most conditions involving acute abdominal problems. This procedure can be used as a diagnostic tool for peritonitis due to ingested foreign bodies and become a treatment modality without requiring a laparotomy. Here, we report 2 cases in which patients presented with localized peritonitis. With the laparoscopic procedure, we found the peritonitis to be the result of sharp bones perforating the intestinal tract. The bones were successfully removed laparoscopically, and the 2 patients fully recovered without complication.
authors.affiliation: Department of Surgery, Division of Gastrointestinal Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Hoon
authors.initials: H
authors.lastname: Hur
authors.forename: Kyo Young
authors.initials: KY
authors.lastname: Song
authors.forename: Seung Eun
authors.initials: SE
authors.lastname: Jung
authors.forename: Hae Myung
authors.initials: HM
authors.lastname: Jeon
authors.forename: Cho Hyun
authors.initials: CH
authors.lastname: Park
mesh_terms: D000368:Aged; D005547:Foreign Bodies / Q000150:complications* / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery