Upper Gastrointestinal Bleeding Secondary to an Incidental, Impacted Foreign Body in the Duodenum.
Date
2020
Authors
Odeghe, E
Osueni, A
Owoseni, O.O
Adeniyi, F
Lesi, O
Journal Title
Journal ISSN
Volume Title
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Abstract
A 68-year-old woman presented with a three-week history of upper abdominal discomfort,
vomiting of coffee ground substance, and passage of tarry stools. There were no typical risk
factors for gastroduodenal or liver disease. Gastroscopy done showed a fishbone impacted in
the wall of the pyloric opening with its free end abutting on the wall of the duodenum resulting
in a duodenal ulcer. Antral erosions were also noted. Retrieval forceps were used to retrieve the
fishbone. The patient did not remember eating any fish containing meal, and there was no
odynophagia. This case emphasizes the importance of considering foreign bodies as a cause of
upper gastrointestinal bleeding as well as the need for an endoscopic review of all patients with
upper gastrointestinal bleed.
Description
Keywords
endoscopy, foreign body, upper gastrointestinal bleeding, duodenum, stomach, melena, ulceration
Citation
Odeghe E, Osueni A, Owoseni OO, Adeniyi F, Lesi O. Upper Gastrointestinal Bleeding Secondary to an Incidental, Impacted Foreign Body in the Duodenum. Cureus. 2020; 12(2): e6971.