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©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2018; 6(10): 384-392
Published online Sep 26, 2018. doi: 10.12998/wjcc.v6.i10.384
Published online Sep 26, 2018. doi: 10.12998/wjcc.v6.i10.384
Rectal perforation by inadvertent ingestion of a blister pack: A case report and review of literature
Francesco Fleres, Michele Aspromonte, Department of Human Pathology of the Adult and Evolutive Age “Gaetano Barresi”, Section of General Surgery, University of Messina, Messina 98125, Italy
Antonio Ieni, Giuseppe Speciale, Department of Human Pathology of the Adult and Evolutive Age “Gaetano Barresi”, Section of Anatomic Pathology, University of Messina, Messina 98125, Italy
Edoardo Saladino, General and Oncologic Surgery Unit, Clinica Cappellani-GIOMI, Messina 98168, Italy
Antonio Cannaò, Messina University Medical School Hospital, Messina 98125, Italy
Antonio Macrì, Peritoneal Surface Malignancy and Soft Tissue Sarcoma Program, Messina University Medical School Hospital, Messina 98125, Italy
Author contributions: Fleres F, Saladino E, Aspromonte M and Macrì A participated in the conception and design of the report; Fleres F and Macrì A drafted the paper and analyzed the report; Macrì A performed the surgical procedure; Macrì A was involved in the diagnosis, surgical management and follow-up of the patient; Cannaò A was involved in the patient’s surgical management; Ieni A and Speciale G carried out the histological procedures.
Conflict-of-interest statement: All authors have no conflicts of interest to report.
Informed consent statement: Written informed consent was obtained from the patient ahead of the publication of this Case Report and its accompanying images. A copy of the written informed consent is available for review by the Editor-in-Chief of this journal.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Francesco Fleres, MD, Doctor, Medical Assistant, Surgeon, Department of Youth and Adulthood Human Pathology “Gaetano Barresi”, General Surgery Unit, University of Messina, Via Consolare Valeria, Messina 98125, Italy. franz.fleres@gmail.com
Telephone: +39-090-2212678 Fax: +39-090-2213524
Received: May 16, 2018
Peer-review started: May 16, 2018
First decision: May 24, 2018
Revised: July 26, 2018
Accepted: August 26, 2018
Article in press: August 27, 2018
Published online: September 26, 2018
Peer-review started: May 16, 2018
First decision: May 24, 2018
Revised: July 26, 2018
Accepted: August 26, 2018
Article in press: August 27, 2018
Published online: September 26, 2018
Core Tip
Core tip: Ingestion of a foreign body (FB) is usually treated with observation or endoscopic removal. Less of 1% of FBs can cause an intestinal perforation. Diverticular disease and FB may be associated with pathological processes, including inflammation, perforation, abscess and fistula. The diagnosis of intestinal perforation following the unknown ingestion of a FB is a clinical challenge, first of all because it happens often in patients with intellectual disability or among the psychiatric population and secondly because it is not reported during questioning. Caregivers should be cautious and aware of the cutting of drug blisters.