2019 Volume 39 Issue 1 Pages 079-081
A 61-year-old woman presented with a 3-day history of abdominal and hypochondrial pain. Blood examination revealed increases in the levels of inflammatory markers. Abdominal CT showed a 30-mm long metallic foreign object, like a wire, which had penetrated the greater curvature of the gastric antrum. The patient had lost her dental metal wire few days earlier. We diagnosed peritonitis complicating gastric perforation caused by the dental metal wire. Since the object was a curved wire and almost be out of gastric parietal, we performed laparoscopic surgery and not endoscopy. We picked out the wire and covered the hole with omentum. The patient was discharged from the hospital 7 days later. Herein, we report a case of gastric perforation caused by an orthodontic appliance that was successfully treated by laparoscopic surgery.
