SciELO - Scientific Electronic Library Online

vol.104 número2Apariencia externa e interna de la poliquistosis hepatorrenalPioderma gangrenoso con extensa afectación perianal índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google


Revista Española de Enfermedades Digestivas

versión impresa ISSN 1130-0108

Rev. esp. enferm. dig. vol.104 no.2 Madrid feb. 2012 



Sigmoid colon perforation due to a foreign body ingestion

Perforación de colon sigmoide por ingestión de cuerpo extraño



Santiago Alonso-Gómez1, Eduardo Rubio-González1, María Donat-Garrido1, Manuel Lomas-Espadas1, José Antonio Solís-Herruzo2 and Enrique Moreno-González1

1Department of General and Digestive Surgery. Hospital Universitario 12 de Octubre. Madrid, Spain.
2Department of Digestive Diseases. Hospital Universitario 12 de Octubre. Madrid, Spain




Intestinal perforation due to a foreign body (FB) is a rare cause of acute abdomen, however, it represent a diagnostic possibility that the physician must not forget.


Case report

A 35-year-old man with a medical history of schizophrenia was presented at the hospital because of abdominal pain and fever. There were evidence of localized peritoneal irritation by exam. His laboratory tests on admission revealed an elevated white blood cell count of 24.700 mm3 and neutrophilia (88.1%). An abdominal CT scan showed four foreign bodies (Fig. 1), one of them producing a sigmoid colon perforation with pneumoperitoneum. The patient was taken urgently to the operating room for surgery. A FB was found penetrating sigmoid colon (Fig. 2) without intra-abdominal contamination. A primary suture was performed and the patient was discharged to home without any complications.



Although the ingestion of FB, whether accidental or voluntary, is relatively common in the general population, most FB pass through the digestive tract without incident. However, in 1% of cases, an ingested FB causes complications such as acute abdomen due to intestinal perforation. The accidental ingestion of FB is more common among children, adolescents, the elderly and patients with dental problems. The most frequent sites of perforation by FB are the ileocecal and rectosigmoid regions, because the intestinal lumen narrows and the digestive tract angulated in these areas.

The type of treatment depends on the site of intestinal lesion and the local conditions. When perforation affects colon, the literature recommends wound eversion by colostomy. In present case, the lack of intra-abdominal contamination and the characteristics of the lesion (punctate perforation and lack of fecal material around the perforation) allowed to perform primary suture.



1. Rodríguez-Hermosa JI, Codina-Cazador A, Sirvent JM, Martín A, Girones J, Garsot E. Surgically treated perforations of the gastrointestinal tract caused by ingested foreign bodies. Colorectal Dis 2008;10:701-7.         [ Links ]

2. Goh BK, Chow PK, Quah HM, et al. Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies. World J Surg 2006;30:372-7.         [ Links ]

3. Velitchkov NG, Grigorov GI, Losanoff JE, Kjossev KT. Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases. World J Surg 1996;20:1001-5.         [ Links ]

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons