title: A curious case of foreign body induced jejunal obstruction and perforation.
abstract: BACKGROUND
  Accidental and unnoticed ingestion of foreign bodies are not very uncommon. Most of such foreign bodies pass through gastrointestinal tract uneventfully and only on rare instances cause obstruction and/or perforation.
  
  
  METHODS
  We are reporting a case in which a 45 yr old male presented to accident and emergency department of our institute with complaints of pain abdomen, greenish vomiting, abdominal distension, fever and non passage of flatus and stool following alcoholic binge 15 days back. On presentation tachycardia, hypotension, generalised abdominal tenderness and guarding were present. After initial resuscitation and investigation diagnosis of perforation peritonitis was made and emergency exploratory lapratomy was done and a single perforation with plastic foreign body protruding through it was found in jejunum 5cm distal to duodeno-jejunal junction.
  
  
  CONCLUSIONS
  The majority of ingested FBs that reach the stomach pass uneventfully through the gastrointestinal tract. The majority of cases occur in children. Only 1% of patient of patients requires surgical intervention depending upon nature, size and shape of the foreign body.
  
  
  CONCLUSIONS
  Present case report intends to draw the attention towards possibility of intestinal obstruction and perforation by a single plastic foreign body. High index of suspicion is needed as this foreign body is not even radio-opaque and cannot be picked up in X-ray investigations. Also with increasing use of such plastic materials there are increased chances of such incidents.
authors.affiliation: Department of General Surgery, Pt. B.D.S. Post Graduate Institute of Medical Sciences, University of Health Sciences, Rohtak, India. Electronic address: pushpendrasarwa.cims@gmail.com.
authors.forename: Pushpendra
authors.initials: P
authors.lastname: Sarwa
authors.affiliation: Department of General Surgery, Pt. B.D.S. Post Graduate Institute of Medical Sciences, University of Health Sciences, Rohtak, India.
authors.forename: Ranbir Singh
authors.initials: RS
authors.lastname: Dahiya
authors.affiliation: Department of General Surgery, Pt. B.D.S. Post Graduate Institute of Medical Sciences, University of Health Sciences, Rohtak, India.
authors.lastname: Nityasha
authors.affiliation: Department of General Surgery, Pt. B.D.S. Post Graduate Institute of Medical Sciences, University of Health Sciences, Rohtak, India.
authors.forename: Samir
authors.initials: S
authors.lastname: Anand
authors.affiliation: Department of General Surgery, Pt. B.D.S. Post Graduate Institute of Medical Sciences, University of Health Sciences, Rohtak, India.
authors.lastname: Chandrabhan
authors.affiliation: Department of General Surgery, Pt. B.D.S. Post Graduate Institute of Medical Sciences, University of Health Sciences, Rohtak, India.
authors.forename: Sekhar
authors.initials: S
authors.lastname: Gogna
authors.affiliation: Department of General Surgery, Pt. B.D.S. Post Graduate Institute of Medical Sciences, University of Health Sciences, Rohtak, India.
authors.forename: Deepanshu
authors.initials: D
authors.lastname: Gupta
authors.affiliation: Department of General Surgery, Pt. B.D.S. Post Graduate Institute of Medical Sciences, University of Health Sciences, Rohtak, India.
authors.forename: Bhavinder
authors.initials: B
authors.lastname: Arora
keywords: Foreign bodies; Intestinal obstruction; Intestinal perforation; Jejunum
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