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Published in: Journal of Medical Case Reports 1/2010

Open Access 01-12-2010 | Case report

Foreign body ingestion mimicking irritable bowel syndrome: a case report

Authors: Ioannis D Komninos, Ioanna G Tsiligianni

Published in: Journal of Medical Case Reports | Issue 1/2010

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Abstract

Introduction

Foreign body ingestion is associated with a variety of symptoms and complications, often mimicking various diseases. This case report describes an unusual presentation following foreign body ingestion.

Case presentation

A 56-year-old Greek Caucasian woman presented to a primary care setting, in rural Crete, Greece, with complaints of abdominal pain, cramping and bloating, for the last four months. Alternating constipation and diarrhea was reported. The patient had unknowingly ingested a foreign body that resulted in an irritable bowel syndrome-like presentation.

Conclusions

This case report emphasizes the need for a high index of suspicion from physicians for a wide differential in their approach to abdominal complaints, as well as the importance of an individualized approach to patients in the setting of clinical medicine.
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Literature
1.
go back to reference Cheng W, Tam PK: Foreign-body ingestion in children: experience with 1,265 cases. J Pediatr Surg. 1999, 34 (10): 1472-1476. 10.1016/S0022-3468(99)90106-9.CrossRefPubMed Cheng W, Tam PK: Foreign-body ingestion in children: experience with 1,265 cases. J Pediatr Surg. 1999, 34 (10): 1472-1476. 10.1016/S0022-3468(99)90106-9.CrossRefPubMed
2.
go back to reference Velitchkov NG, Grigorov GI, Losanoff JE, Kjossev KT: Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases. World J Surg. 1996, 20 (8): 1001-1005. 10.1007/s002689900152.CrossRefPubMed Velitchkov NG, Grigorov GI, Losanoff JE, Kjossev KT: Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases. World J Surg. 1996, 20 (8): 1001-1005. 10.1007/s002689900152.CrossRefPubMed
3.
4.
go back to reference Comman A, Gaetzschmann P, Hanner T, Behrend M: A case of needle ingestion in a female - laparoscopic retrieval. JSLS. 2008, 12 (3): 338-342.PubMedPubMedCentral Comman A, Gaetzschmann P, Hanner T, Behrend M: A case of needle ingestion in a female - laparoscopic retrieval. JSLS. 2008, 12 (3): 338-342.PubMedPubMedCentral
5.
go back to reference Huiping Y, Jian Z, Shixi L: Esophageal foreign body as a cause of upper gastrointestinal hemorrhage: case report and review of the literature. Eur Arch Otorhinolaryngol. 2008, 265 (2): 247-249. 10.1007/s00405-007-0419-5.CrossRefPubMed Huiping Y, Jian Z, Shixi L: Esophageal foreign body as a cause of upper gastrointestinal hemorrhage: case report and review of the literature. Eur Arch Otorhinolaryngol. 2008, 265 (2): 247-249. 10.1007/s00405-007-0419-5.CrossRefPubMed
6.
go back to reference Kelly SL, Peters P, Ogg MJ, Li A, Smithers BM: Successful management of an aortoesophageal fistula caused by a fish bone--case report and review of literature. J Cardiothorac Surg. 2009, 4: 21-10.1186/1749-8090-4-21.CrossRefPubMedPubMedCentral Kelly SL, Peters P, Ogg MJ, Li A, Smithers BM: Successful management of an aortoesophageal fistula caused by a fish bone--case report and review of literature. J Cardiothorac Surg. 2009, 4: 21-10.1186/1749-8090-4-21.CrossRefPubMedPubMedCentral
7.
go back to reference Drnovsek V, Ruff MB, Riehl PA, Plavsic BM: Gastrointestinal case of the day. Chronic ileocolocolic intussusception secondary to a mobile cecum and a benign fibrovascular mass. Radiographics. 1999, 19 (4): 1102-1104.CrossRefPubMed Drnovsek V, Ruff MB, Riehl PA, Plavsic BM: Gastrointestinal case of the day. Chronic ileocolocolic intussusception secondary to a mobile cecum and a benign fibrovascular mass. Radiographics. 1999, 19 (4): 1102-1104.CrossRefPubMed
8.
go back to reference Dahiya M, Denton JS: Esophagoaortic perforation by foreign body (coin) causing sudden death in a 3-year-old child. Am J Forensic Med Pathol. 1999, 20 (2): 184-188. 10.1097/00000433-199906000-00016.CrossRefPubMed Dahiya M, Denton JS: Esophagoaortic perforation by foreign body (coin) causing sudden death in a 3-year-old child. Am J Forensic Med Pathol. 1999, 20 (2): 184-188. 10.1097/00000433-199906000-00016.CrossRefPubMed
9.
go back to reference Tsesmeli NE, Savopoulos CG, Hatzitolios AI, Karamitsos DT: Public health and potential complications of novel fashion accessories: an unusual foreign body in the upper gastrointestinal tract of an adolescent. Cent Eur J Public Health. 2007, 15 (4): 172-174.PubMed Tsesmeli NE, Savopoulos CG, Hatzitolios AI, Karamitsos DT: Public health and potential complications of novel fashion accessories: an unusual foreign body in the upper gastrointestinal tract of an adolescent. Cent Eur J Public Health. 2007, 15 (4): 172-174.PubMed
10.
go back to reference Renner K, Holzer B, Hochwarter G, Weihsbeck E, Schiessel R: Needle perforation of the appendix. Dig Surg. 2000, 17 (4): 413-414. 10.1159/000018891.CrossRefPubMed Renner K, Holzer B, Hochwarter G, Weihsbeck E, Schiessel R: Needle perforation of the appendix. Dig Surg. 2000, 17 (4): 413-414. 10.1159/000018891.CrossRefPubMed
11.
go back to reference Li SF, Ender K: Toothpick injury mimicking renal colic: case report and systematic review. J Emerg Med. 2002, 23 (1): 35-38. 10.1016/S0736-4679(02)00458-4.CrossRefPubMed Li SF, Ender K: Toothpick injury mimicking renal colic: case report and systematic review. J Emerg Med. 2002, 23 (1): 35-38. 10.1016/S0736-4679(02)00458-4.CrossRefPubMed
12.
go back to reference Liu HJ, Liang CH, Huang B, Xie SF, Wang GY: Migration of a swallowed toothpick into the liver: the value of multiplanar CT. Br J Radiol. 2009, 82 (976): e79-81. 10.1259/bjr/16399296.CrossRefPubMed Liu HJ, Liang CH, Huang B, Xie SF, Wang GY: Migration of a swallowed toothpick into the liver: the value of multiplanar CT. Br J Radiol. 2009, 82 (976): e79-81. 10.1259/bjr/16399296.CrossRefPubMed
13.
go back to reference O'Gorman MA, Boyer RS, Jackson WD: Toothpick foreign body perforation and migration mimicking Crohn's disease in a child. J Pediatr Gastroenterol Nutr. 1996, 23 (5): 628-630. 10.1097/00005176-199612000-00021.CrossRefPubMed O'Gorman MA, Boyer RS, Jackson WD: Toothpick foreign body perforation and migration mimicking Crohn's disease in a child. J Pediatr Gastroenterol Nutr. 1996, 23 (5): 628-630. 10.1097/00005176-199612000-00021.CrossRefPubMed
15.
go back to reference Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC: Functional bowel disorders. Gastroenterology. 2006, 130 (5): 1480-1491. 10.1053/j.gastro.2005.11.061.CrossRefPubMed Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC: Functional bowel disorders. Gastroenterology. 2006, 130 (5): 1480-1491. 10.1053/j.gastro.2005.11.061.CrossRefPubMed
17.
go back to reference Rex DK, Johnson DA, Anderson JC, Schoenfeld PS, Burke CA, Inadomi JM, American College of Gastroenterology: American College of Gastroenterology guidelines for colorectal cancer screening 2009. Am J Gastroenterol. 2009, 104 (3): 739-750. 10.1038/ajg.2009.104.CrossRefPubMed Rex DK, Johnson DA, Anderson JC, Schoenfeld PS, Burke CA, Inadomi JM, American College of Gastroenterology: American College of Gastroenterology guidelines for colorectal cancer screening 2009. Am J Gastroenterol. 2009, 104 (3): 739-750. 10.1038/ajg.2009.104.CrossRefPubMed
Metadata
Title
Foreign body ingestion mimicking irritable bowel syndrome: a case report
Authors
Ioannis D Komninos
Ioanna G Tsiligianni
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2010
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-4-244

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