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A Date Palm Stone Ileal Perforation Discovered During Treatment of a Strangulated Umbilical Hernia

Received: 13 August 2021     Accepted: 3 September 2021     Published: 15 September 2021
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Abstract

Ingestion of foreign bodies is a frequent reason for consultation or admission to the emergency room. It is frequently accidental and involves children whose peak age varies between 9 months and three years. Reported cases of intestinal perforation by stone are rare. Herein we report one case of ileal perforation with a date palm stone discovered during the treatment of an emergency strangulated umbilical hernia in a 2-year-old patient. Clinically, there was a painful, irreducible, non-expansive umbilical swelling with coughing and vomiting. The other hernial orifices were free. Temperature was 36°C, respiratory rate 98 movements per minute, pulse rate 23 beats per minute. Biologically, hemoglobin was 11.4 G/dl, white blood cells were 9 giga/l. The diagnosis of strangulated umbilical hernia was retained. Intraoperatively, we found a small loop incarcerated in the umbilical ring and perforated in two places by a date palm stone. We proceeded with extraction of the stone, resection with both holes, followed by terminal ileo-ileal anastomosis. The postoperative course was simple and no complications were noted after a 2-year follow-up.

Published in Journal of Surgery (Volume 9, Issue 5)
DOI 10.11648/j.js.20210905.13
Page(s) 230-232
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Ingestion, Date Palm Stone, Ileal Perforation, Management

References
[1] Weick J, Moore D. (2005) An usual case of umbilical hernia rupture with evisceration. Pediatric surg; 40: 33-35.
[2] Arana A, Hauser B. (2001) Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr; 160: 468-72.
[3] Paul G, Buysschaert M, DE Cannière L, Trigaux JP, Donckier J, Coche E. (1991) Abcès du foie et corps étranger appendiculaire. Gastro-entérologie Clinique et Biologique; 15 (10): 762 765.
[4] Eisen GM, Baron TH, Dominitz JA, et al. (2002) Guideline for the management of ingested foreign bodies. Gastrointest Endosc; 55: 802-806.
[5] Michaud L, Bellaiche M, Olives JP. (2009) Ingestion de corps étrangers chez l’enfant. Recommandations du Groupe francophone d’hépatologie, gastroentérologie et nutrition pédiatriques. Arch Pediatr; 16: 54-61.
[6] Haennig A, Bournet B, Jean-Pierre O, Buscail L. (2011) Conduite à tenir devant une ingestion de corps étrangers. Hepato Gastro; 18: 249-257.
[7] Lovece A, Asti E, Andrea Sironi A, et al. (2014) Toothpick ingestion complicated by cecal perforation: case report and literature review. World J Emerg Surg; 9: 63-5.
[8] Su YJ, Lai YC, Chen CC, et al. (2009) Intra-abdominal abscess caused by toothpick injury. Int J Infect Dis; 13 (5): 264-6.
[9] Lheureux P, Cavenaille JC, Cornil A, (1996) Nouvelle M, Sermon F, Leduc D, Arkenasi R. Ingestion de corps étranger: attitude pratique. ReanimUrg; 5: 637-53.
[10] Strain MH, Chisevescu DM, Potopea S. (2011) Successful Endoscopic Treatment of an Unusual Cause of Lower Gastrointestinal Bleeding Using the OVESCO System. J Gastrointestin Liver Dis; 20 (1): 85-7.
[11] Takada M, Kashiwagi R, Sakane M, et al. (2000) 3D-CT diagnosis for ingested foreign bodies. Am J Emerg Med; 18: 192-193.
[12] Sealock RJ, Sabounchi S, Graham DY. (2013) Toothpick Perforation of the Intestines Presenting as Recurrent Abdominal Pain: Possible Roles of Abdominal Ultrasound and MRI. Clin Med Insights Case Rep; 6: 131-5.
[13] Djodjo M, Botti K, Ebouat KMEV, Ohayon P, Yapo-Etté H, Qautrehomme G. (2013) Prise en charge médicale des détenus ayant Ingéré volontairement des corps étrangers: expérience de l’ucsa de la maison d’arrêt de Nice relative à 83 corps étrangers ingérés. Rev Int Sc Méd; 15 (3): 171-177.
[14] Ayaka K, Matsuo S, handa K, et al. (2010) Intestinal Perforation by Ingested Foreign Bodies. Acta medica Nagasaki; 55 (1): 1-5.
[15] Chichom-Mefire A. (2015) Perforation of the splenic flexure of the colon by an ingested wooden toothpick. J Surg Case Rep; 1: 1-2.
[16] Pinero MA, Fernandez Hernandez JA, Carrasco Prats M, et al. (2000) Intestinal perforation by foreign bodies. Eur J Surgery; 166: 307-309.
Cite This Article
  • APA Style

    Fofana Naby, Kondano Saa Yawo, Mamy Gnan Francis, Oulare Ibrahima, Soumaoro Labile Togba, et al. (2021). A Date Palm Stone Ileal Perforation Discovered During Treatment of a Strangulated Umbilical Hernia. Journal of Surgery, 9(5), 230-232. https://doi.org/10.11648/j.js.20210905.13

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    ACS Style

    Fofana Naby; Kondano Saa Yawo; Mamy Gnan Francis; Oulare Ibrahima; Soumaoro Labile Togba, et al. A Date Palm Stone Ileal Perforation Discovered During Treatment of a Strangulated Umbilical Hernia. J. Surg. 2021, 9(5), 230-232. doi: 10.11648/j.js.20210905.13

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    AMA Style

    Fofana Naby, Kondano Saa Yawo, Mamy Gnan Francis, Oulare Ibrahima, Soumaoro Labile Togba, et al. A Date Palm Stone Ileal Perforation Discovered During Treatment of a Strangulated Umbilical Hernia. J Surg. 2021;9(5):230-232. doi: 10.11648/j.js.20210905.13

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  • @article{10.11648/j.js.20210905.13,
      author = {Fofana Naby and Kondano Saa Yawo and Mamy Gnan Francis and Oulare Ibrahima and Soumaoro Labile Togba and Fofana Houssein and Toure Aboubacar and Diallo Aissatou Taran},
      title = {A Date Palm Stone Ileal Perforation Discovered During Treatment of a Strangulated Umbilical Hernia},
      journal = {Journal of Surgery},
      volume = {9},
      number = {5},
      pages = {230-232},
      doi = {10.11648/j.js.20210905.13},
      url = {https://doi.org/10.11648/j.js.20210905.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210905.13},
      abstract = {Ingestion of foreign bodies is a frequent reason for consultation or admission to the emergency room. It is frequently accidental and involves children whose peak age varies between 9 months and three years. Reported cases of intestinal perforation by stone are rare. Herein we report one case of ileal perforation with a date palm stone discovered during the treatment of an emergency strangulated umbilical hernia in a 2-year-old patient. Clinically, there was a painful, irreducible, non-expansive umbilical swelling with coughing and vomiting. The other hernial orifices were free. Temperature was 36°C, respiratory rate 98 movements per minute, pulse rate 23 beats per minute. Biologically, hemoglobin was 11.4 G/dl, white blood cells were 9 giga/l. The diagnosis of strangulated umbilical hernia was retained. Intraoperatively, we found a small loop incarcerated in the umbilical ring and perforated in two places by a date palm stone. We proceeded with extraction of the stone, resection with both holes, followed by terminal ileo-ileal anastomosis. The postoperative course was simple and no complications were noted after a 2-year follow-up.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - A Date Palm Stone Ileal Perforation Discovered During Treatment of a Strangulated Umbilical Hernia
    AU  - Fofana Naby
    AU  - Kondano Saa Yawo
    AU  - Mamy Gnan Francis
    AU  - Oulare Ibrahima
    AU  - Soumaoro Labile Togba
    AU  - Fofana Houssein
    AU  - Toure Aboubacar
    AU  - Diallo Aissatou Taran
    Y1  - 2021/09/15
    PY  - 2021
    N1  - https://doi.org/10.11648/j.js.20210905.13
    DO  - 10.11648/j.js.20210905.13
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 230
    EP  - 232
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20210905.13
    AB  - Ingestion of foreign bodies is a frequent reason for consultation or admission to the emergency room. It is frequently accidental and involves children whose peak age varies between 9 months and three years. Reported cases of intestinal perforation by stone are rare. Herein we report one case of ileal perforation with a date palm stone discovered during the treatment of an emergency strangulated umbilical hernia in a 2-year-old patient. Clinically, there was a painful, irreducible, non-expansive umbilical swelling with coughing and vomiting. The other hernial orifices were free. Temperature was 36°C, respiratory rate 98 movements per minute, pulse rate 23 beats per minute. Biologically, hemoglobin was 11.4 G/dl, white blood cells were 9 giga/l. The diagnosis of strangulated umbilical hernia was retained. Intraoperatively, we found a small loop incarcerated in the umbilical ring and perforated in two places by a date palm stone. We proceeded with extraction of the stone, resection with both holes, followed by terminal ileo-ileal anastomosis. The postoperative course was simple and no complications were noted after a 2-year follow-up.
    VL  - 9
    IS  - 5
    ER  - 

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Author Information
  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

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