Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A case of bowel obstruction caused by a medical glove due to pica
Atsuo KOBAYASHIHitoshi SEKIDOGorou MATSUDAMichihiro ICHIMANDAToshitake TAKAHASHITakeki SHIINAItaru ENDOU
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2010 Volume 71 Issue 4 Pages 941-945

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Abstract
A 28-year-old woman who had not previously undergone abdominal surgery was hospitalized due to schizophrenia. She developed ileus and abdominal CT showed an object 4×6×3.5cm with internal heterogeneity in the small intestine. A detailed case history revealed reiterate pica. Ileus with foreign body ingestion was diagnosed and conservative therapy was started because her abdominal symptoms disappeared. However, her symptoms showed exacerbation and emergency surgery was done. The object was in the terminal ileum, which was cut open to extract the object. It was a medical glove, denatured and hard. The postoperative course was uneventful and the patient was discharged on postoperative day 26. In the case of ileus with psychiatric disease, it is necessary to keep intestinal obstruction due to a foreign body in mind. In this case, MDCT was useful for diagnosing foreign body ingestion.
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© 2010 Japan Surgical Association
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