NHÂN MỘT TRƯỜNG HỢP VIÊM PHÚC MẠC KHU TRÚ DO DỊ VẬT KIM LOẠI XUYÊN THÀNH HỒI TRÀNG CUỐI TẠI BỆNH VIỆN ĐẠI HỌC Y DƯỢC THÀNH PHỐ HỒ CHÍ MINH

Abstract

Ingestion of foreign bodies is not a rare clinical case, although according to medical literature the rate of perforation complication is very low and the clinical manifestation is variety, less than 1% of cases must be operated. The most common complication is gastrointestinal tract perforation, usually happened in the physiologic stenotic parts or angulated parts of alimentary tract such as ilio-cecum and sigmoid colon. We presented a case with a patient has a history of drug abuse, she was admitted to the rehab where she swallowed 50 zinc patterns. The period of time from when she swallowed the zinc patterns to having abdominal pain was 2 months. She was taken to abdominal CT-Scan and we found that the foreign bodies perforate the ilium at two sites with reactive inflammatory bowel, the patient was taken to operation room, the postoperative period was quite favorable, the patient recovered well and was discharged to home on the 6^thpostoperative day.