| Small Bowel Perforation (Foreign Body)
|
Etiology
• Bone or other indigestible, hard material
|
Pathogenesis
• Hard, incompressible mass lodges in intestine and lacerates bowel
• Alternative may be compression of blood supply with necrosis of bowel,
|
Epidemiology
• Uncommon.
• May be secondary to bezoar caused by eating indigestible materials, accumulation of undigested medication or enteric feedings.
• May be psychiatric symptom
|
General Gross Description
• Acute laceration with hemorrhage around the perforation
• Foreign body usually still in place
•Examples:
|
General Microscopic Description
• Tissue disruption and hemorrhage
•Examples:
|
References
• Sleisenger MH, Fordtran JS. Gastrointestinal disease. 5th ed. Philadelphia: Saunders, 1993.
For Most Current Information Search Medline at National Library of Medicine
This link will directly take you to the relevant new literature
| Small Bowel Perforation (Foreign Body)
| | Synopsis by: Melinda Sanders M.D. (T64000M30400)[534]
| |