Volume 25, Issue 114, August 2021

Corpus alienum – A rare case of tablespoon in the rectovesical pouch

Lukas Cuchrac¹, Jana Simonova¹, Jozef Firment¹, Robert Simon², Janka Vaskova^3♦

¹Clinic of Anaesthesiology and Intensive Care Medicine, Louis Pasteur University Hospital in Košice, and Pavol Jozef Šafarik University in Košice, Tr. SNP 1, 040 66 Košice, Slovak Republic
²Department of Surgery, Louis Pasteur University Hospital, Faculty of Medicine, Pavol Jozef Šafarik University in Košice, Slovak Republic, Rastislavova 43, 040 01 Košice, Slovak Republic
³Department of Medical and Clinical Biochemistry, Faculty of Medicine, Pavol Jozef Šafarik University in Košice, Tr. SNP 1, 040 66 Košice, Slovak Republic

^♦Corresponding author
Department of Medical and Clinical Biochemistry, Faculty of Medicine, Pavol Jozef Šafarik University in Košice, Tr. SNP 1, 040 66 Košice, Slovak Republic

ABSTRACT

Ingestion of foreign bodies, mostly common household utensils, is not unusual in adults, with higher prevalence in individuals who are intoxicated, incarcerated, or mentally handicapped. These objects pass through the digestive tract in most cases, although some require medical intervention to aid their removal. A small number of detained objects can remain unnoticed for a long time until they cause complications through perforation and migration from the gastrointestinal tract. We describe the case of patient that was admitted after approximately one day of abdominal pain. The patient denied the admission of a foreign object into the abdominal cavity in any way. Ultimately, a tablespoon of 20 cm was taken from fibrous adhesions in the rectovesical pouch and septic shock developed as a result of perforated jejuna. For reasons of respiratory insufficiency and circulatory instability, treatment was more complicated for the patient.

Keywords: abdominal cavity, intestinal perforation, metal foreign body; rectovesical pouch, soup spoon

Medical Science, 2021, 25(114), 1931-1937

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