Yabancý cisim yutma sonucu geliþen akut mekanik baðýrsak týkanýklýðý: Olgu sunumu

Sýklýkla zeka geriliði ve psikiyatrik hastalýðý olan kiþilerde karþýlaþýlan yabancý cisim yutma, sýk görülen ancak nadiren cerrahi giriþim gerektiren bir durumdur. Çoðunlukla yutulan cisimlerin dýþkýyla atýlmasý ile sonlanmaktadýr. Yutulan cismin sayýsý, þekli, boyutu ve yutulma zamaný tedavi þeklini belirlemektedir. Acil polikliniðimize baþvurusundan bir gün önce en büyüðü 4,5 cm’lik yaklaþýk 60 adet taþ yutan 21 yaþýndaki erkek hasta konservatif izlem amacýyla kliniðimize yatýrýldý. Üç günlük konservatif izlemden sonra, akut mekanik baðýrsak týkanýklýðý geliþimi nedeniyle ameliyata alýnan hastanýn çekum ve sigmoid kolonundaki 35 adet taþ transvers kolotomi ile, midesindeki 15 adet taþ ise gastrotomi ile çýkartýldý. Bu olgu sebebiyle, yabancý cisim yutulmasýnda izlenecek tedavi yöntemleri ve literatür bilgiler araþtýrýldý.

Acute mechanical intestinal obstruction after ingestion of foreign bodies: a case report

Foreign body ingestion is usually encountered in mentally retarded patients and is a common situation in patients with psychiatric illnesses, but it rarely necessitates surgical intervention. The outcome is usually defecation of the ingested materials. The treatment modality is affected by the number, size and shape of the ingested material(s). One day before presenting to our emergency room, a 21-year-old man ingested nearly 60 stones, the largest of which was 45 mm in diameter. We hospitalized the patient for conservative follow-up in our clinic. The patient was operated because of acute mechanical obstruction of the small intestine after three days of conservative follow-up. Thirty-five stones in the cecum and sigmoid colon were removed by transverse colotomy and 15 stones in the stomach were removed by gastrotomy. Because of this case, treatment modality alternatives in foreign body ingestion and the literature data are reviewed.