A Case Report of Duodenal Perforation Due to Foreign Body Ingestion

Most ingested foreign bodies pass through the gastrointestinal tract without a problem. Occasionally complications like obstruction and hallow viscus perforation occurs. Duodenal perforation due to foreign body ingestion is not common and observation is enough for most cases, but if it is long with sharp margins, especial consideration for its early removal with endoscopic intervention is needed. This could be true for long foreign bodies with blunt ends. Otherwise severe complications may occur, like our case study. The patient is a 3.5 years old boy come to emergency ward with complaint about generalized abdominal pain for 3 days ago with nausea and vomiting and normal defecation. The patient underwent laparatomy because of generalized tenderness and intraperitoneal free air; and there was a duodenal perforation in duodenojejunal junction due to foreign body and it was repaired with omental patch. The aim of this report is to attract especial attention to log ingested foreign bodies even with blunt end.