Gastric Perforation and Phlegmon Formation by Foreign BodyIngestion.
This is a case report of foreign body ingestion in a suicide attempt resulting in gastric perforation and phlegmon formation during a subsequent 6 month period that eventually required surgical intervention. The patient had a prolonged course because she did not report a history of foreign body ingestion and the initial evaluating physicians had no suspicion about possible foreign body ingestion and may have missed important findings on physical examination. Gastric perforation by a foreign object may have a slow course rather than presenting acute abdomen. The realization of a proper physical examination in the emergency department is key to an accurate diagnosis.
Department of Emergency Medicine, Pontifical Xavierian University, Bogotá D.C, Colombia.
Albert Alejandro
AA
Avila Alvarez
Department of Emergency Medicine, Pontifical Xavierian University, Bogotá D.C, Colombia.
Jose Fernando
JF
Parra
Department of Surgery, Hospital Universitario San Ignacio, Pontifical Xavierian University, Bogotá D.C, Colombia.
Diego Andres
DA
Buitrago
Department of Radiology, Hospital Universitario San Ignacio, Pontifical Xavierian University, Bogotá D.C, Colombia.
Fernando
F
Rodriguez
Department of Emergency Medicine, Pontifical Xavierian University, Bogotá D.C, Colombia.
Atilio
A
Moreno
Stomach; cellulitis; foreign body; phlegmon