Gradual Colonic Impaction of a Chicken Bone Associated with Inflammatory Pseudotumor Formation and Nonocclusive Colon IschemiaReportar como inadecuado




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Case Reports in Radiology - Volume 2014 2014, Article ID 215465, 7 pages -

Case Report

Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, Policlinico Tor Vergata PTV, Viale Oxford 81, 00133 Rome, Italy

Department of Experimental Science and Surgery, Policlinico Tor Vergata PTV, Viale Oxford 81, 00133 Rome, Italy

Received 26 October 2013; Accepted 2 January 2014; Published 11 February 2014

Academic Editors: B. J. Barron and V. Low

Copyright © 2014 Stefania Fosi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Foreign body FB ingestion is a common clinical problem and most FBs pass through the gastrointestinal tract without the need for intervention. A wide spectrum of clinical presentations may be possible and these can be either acute or chronic. We present a case of an 83-year-old woman featuring insidious abdominal discomfort who was hospitalized in our institution due to worsening symptoms. She underwent contrast-enhanced computed tomography CT evaluation which showed the presence of a significant parietal thickening of the transverse and descending colon, a mesenteric loose tissue imbibition, venous engorgement, and no filling defect of visceral arteries, suggesting a condition of nonocclusive colon ischemia. A hyperdense FB was identified in the sigma and was associated with a small pseudotumoral mass. The patient underwent surgical exploration which confirmed the hypoperfusional state of the colon, showing the presence of a chicken bone perforating the sigma and lying in the context of a pseudotumoral mass. Our experience shows how contrast-enhanced CT is feasible and can be strongly recommended as a first-line imaging tool on suspicion of colon ischemia and also how it can easily identify the underlying cause, in our case a FB sealed perforation of the sigma with pseudotumoral mass formation.





Autor: Stefania Fosi, Simone Altobelli, Alessio Bindi, Massimo Villa, Flavio De Sanctis, Mauro Montuori, Edoardo Ricciardi, Piero

Fuente: https://www.hindawi.com/



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