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KMID : 1033220230130020074
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Journal of Acute Care Surgery
2023 Volume.13 No. 2 p.74 ~ p.77
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Let’s Get That Bread Clip: Mechanical or Malignant Large Bowel Obstruction?
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Molly Clark
Morgan Jones
Joseph Kong
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Abstract
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A 60-year-old female presented with symptoms consistent with a large bowel obstruction (LBO). Following confirmation of LBO using imaging, she progressed to a laparotomy which potentially revealed a large rectosigmoid tumor with surrounding adhesions, deemed unresectable. The postoperative course was complicated by an enterocutaneous fistula. She was transferred to a tertiary center and underwent a repeat laparotomy which revealed a large fibrotic mass associated with an intra-luminal bread clip (expiry date 2002). This case report details the interesting causative nature of this LBO and the subsequent surgical management, and complicated postoperative course.
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KEYWORD
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enterocutaneous fistula, laparotomy, malignancy
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