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