Travel of a mis-swallowed long spoon to the jejunum

Oct 28, 2009

Foreign body ingestion is a frequent gastrointestinal emergency. However, long spoon swallowing is a rare event. Most swallowed spoons have been found in the stomach. Previously, there has been no reported case of a long spoon reaching the jejunum.

A research article to be published on October 21, 2009 in the World Journal of Gastroenterology reports a case of accidentially swallowing of a long spoon. A 33-year-old woman complained that she attempted to use the spoon to remove a fish bone, which was lodge in the pharynx 20 h before. She had no abdominal pain, fever, vomiting, dysphagia, voice change, cough, or difficulty breathing. An urgent plain abdominal radiograph revealed a metallic foreign body in the lower mid-abdomen.

Several times of attempt to remove the spoon were failed because the patient could not resist the nausea when the spoon was pulled to the cardia. She had to be taken to for an exploratory laparotomy which disclosed that a 15 cm spoon was passed into the jejunum following about 200 cm of the ligament of Treitz. After the operation, the patient was well and was discharged home on postoperative day 7.

More information: Song Y, Guo H, Wu JY. Travel of a mis-swallowed long spoon to the jejunum. World J Gastroenterol 2009; 15(39): 4984-4985, www.wjgnet.com/1007-9327/15/4984.asp

Source: (news : web)

Explore further: Suspected Ebola patient tests negative in Sweden (Update)

add to favorites email to friend print save as pdf

Related Stories

Lucky Squirrels Born With 'Silver Spoon' Effect

Apr 04, 2008

As the saying goes, some people are born with silver spoons in their mouths. The same goes for at least one species of the animal world, according to research done in part by the University of Alberta.

Large abdominal wall lipoma causes bowel obstruction

Jul 22, 2009

Proteus syndrome is a complex disorder associated with varied, disproportionate, asymmetric overgrowth of many body parts and unregulated adipose tissue. The overgrowth seen in Proteus syndrome is progressive and difficult ...

Cardia resection for perforated gastroesophageal cancer

Jul 08, 2009

Iatrogenic perforation of cancer of the esophagus or the gastroesophageal (GE) junction is a severe complication. Its incidence has increased most likely because of more aggressive palliative endoscopic therapy and the current ...

Recommended for you

Senegal monitors contacts of 1st Ebola patient

11 hours ago

Senegalese authorities on Monday were monitoring everyone who was in contact with a student infected with Ebola who crossed into the country, and who has lost three family members to the disease.

Cerebral palsy may be hereditary

16 hours ago

Cerebral palsy is a neurological developmental disorder which follows an injury to the immature brain before, during or after birth. The resulting condition affects the child's ability to move and in some ...

19 new dengue cases in Japan, linked to Tokyo park

22 hours ago

Japan is urging local authorities to be on the lookout for further outbreaks of dengue fever, after confirming another 19 cases that were contracted at a popular local park in downtown Tokyo.

User comments : 0