Gastric antral perforation with a fish bone, laparoscopic surgical intervention in a sub-saharan setting: a case series

Abstract

Foreign body ingestion is a common occurrence in clinical practice experienced in many parts of the world, especially among the pediatric population. However, their occurrence in an adult population is rare. Most foreign bodies in adults pass through the gastrointestinal tract without complications. Less than 1% cause perforation of the gastrointestinal tract and results in many complications including peritonitis, abscesses. Some foreign bodies have been known to result in perforations of different parts of the gastrointestinal tract. Yet many of these foreign bodies have been seen to pass throughout the gastrointestinal tract without causing obstruction or perforation. We highlight two cases of gastric antral perforations with abscess complications seen and managed in our setting with laparoscopic surgery approach with excellent outcomes in both these cases, we did Initially a diagnostic laparoscopy, this revealed a walled off abscess, an antral perforation and a sharp fish bone foreign bodies that were identified and retrieved from the anterior antral perforations. Lavage and antral perforation repair with omentopexy were done for both these patients. These are unusual cases of gastric antrum fishbone perforations with abscess formation seen in our setting and form the first set of documented cases managed laparoscopically with drainage of the abscess’s antral perforation repair and omentopexy with excellent outcomes. .