Sacral Osteomyelitis: An Unusual Complication from Foreign Body Ingestion

Foreign body (FB) ingestion is a common occurrence, and most pass spontaneously through the gastrointestinal tract without complication.1 Approximately 10 to 20 per cent of ingested FB require endoscopic retrieval, whereas 1 per cent require surgical intervention. 1 Complications documented from for...

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Bibliographic Details
Published in:The American surgeon 2012-04, Vol.78 (4), p.497-499
Main Authors: LIN, Maggie, MOHAMMED, Hussan, LAVIEN, Garjae, BRAZIO, Philip, LUMPKINS, Kimberly, TIMMONS, Tracy
Format: Article
Language:English
Subjects:
Antibiotics
Bacterial arthritis and osteitis
Bacterial diseases
Biological and medical sciences
Foreign Bodies - complications
Foreign Bodies - diagnosis
Foreign Bodies - surgery
General aspects
Health care
Human bacterial diseases
Humans
Infectious diseases
Injuries of the abdomen. Foreign bodies of the digestive system
Male
Medical sciences
Middle Aged
Osteomyelitis - diagnosis
Osteomyelitis - etiology
Osteomyelitis - surgery
Ostomy
Pain
Rectum
Sacrum
Surgery
Traumas. Diseases due to physical agents
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Summary:Foreign body (FB) ingestion is a common occurrence, and most pass spontaneously through the gastrointestinal tract without complication.1 Approximately 10 to 20 per cent of ingested FB require endoscopic retrieval, whereas 1 per cent require surgical intervention. 1 Complications documented from foreign body ingestion include intestinal obstruction and perforation, hemorrhage, fistula formation, and intra-abdominal abscess.1, 2 We present the complication of sacral osteomyelitis from erosion of a chronically retained rectal foreign body. Foreign body ingestion is a common occurrence and the majority of ingestions will not require invasive management.1 Endoscopy has an estimated sensitivity of 70 per cent in detecting foreign bodies,3 and remains the initial modality for managing foreign body ingestion given its diagnostic and therapeutic benefits.4 Sharp or oddly shaped FB are more likely to cause complications than smooth objects such as coins.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481207800448