title: Obstruction and perforation of the small bowel caused by inadvertent ingestion of a blister pill pack in an elderly patient.
abstract: Perforation of the small bowel due to foreign body ingestion is a rare instance that occurs in less than 1% of all ingestions. Although rare, ingestion of blister pill packaging is becoming more recognised as a causative agent for intestinal perforation, but is very rarely reported to cause intestinal obstruction. This is a report of a 66-year-old woman who presented with intestinal obstruction and underwent laparotomy, revealing small bowel perforation by a piece of blister pill pack foil. The patient was incognisant of the ingestion.
authors.affiliation: Department of Trauma Services, Hurley Medical Center, Flint, Michigan, USA.
authors.forename: Ghassan
authors.initials: G
authors.lastname: Al-Ramahi
authors.affiliation: Department of Trauma Services, Hurley Medical Center, Flint, Michigan, USA.
authors.forename: Mohamed
authors.identifier: http://orcid.org/0000-0002-4511-5421
authors.initials: M
authors.lastname: Mohamed
authors.affiliation: Department of Trauma Services, Hurley Medical Center, Flint, Michigan, USA.
authors.forename: Kristin
authors.initials: K
authors.lastname: Kennedy
authors.affiliation: Department of Trauma Services, Hurley Medical Center, Flint, Michigan, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: McCann
mesh_terms: D000368:Aged; D004435:Eating; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000293:injuries* / Q000601:surgery; D007813:Laparotomy