Plastic bag clip discovered in partial colectomy accompanying proposal for phylogenic plastic bag clip classification
Identifieur interne : 001985 ( Pmc/Corpus ); précédent : 001984; suivant : 001986Plastic bag clip discovered in partial colectomy accompanying proposal for phylogenic plastic bag clip classification
Auteurs : Larisa M. Lehmer ; Bruce D. Ragsdale ; John Daniel ; Edwin Hayashi ; Robert KvalstadSource :
- BMJ Case Reports [ 1757-790X ] ; 2011.
Abstract
A plastic bag clip was incidentally found anchored in the mucosa of a partial colectomy specimen 2.6 cm proximal to a ruptured diverticulum for which the patient, a mentally retarded, diabetic, 58-year-old man, underwent surgery. Over 20 cases of accidental ingestion of plastic bag clips have been published. Known complications include small bowel perforation, obstruction, dysphagia, gastrointestinal bleeding and colonic impaction. Preoperative diagnosis of plastic clips lodged in the gastrointestinal tract is frustrated due to radiographic translucency. This occult threat could likely be prevented by the design of gastrointestinally safe, plastic-bag-sealing devices. Presented here is a morphologically based classification of bag clips as a possible guide for determining the most hazardous varieties and to aid further discussions of their impact on health.
Url:
DOI: 10.1136/bcr.02.2011.3869
PubMed: 22679182
PubMed Central: 3176375
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PMC:3176375Le document en format XML
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<author><name sortKey="Lehmer, Larisa M" sort="Lehmer, Larisa M" uniqKey="Lehmer L" first="Larisa M" last="Lehmer">Larisa M. Lehmer</name>
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<author><name sortKey="Daniel, John" sort="Daniel, John" uniqKey="Daniel J" first="John" last="Daniel">John Daniel</name>
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<author><name sortKey="Hayashi, Edwin" sort="Hayashi, Edwin" uniqKey="Hayashi E" first="Edwin" last="Hayashi">Edwin Hayashi</name>
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<front><div type="abstract" xml:lang="en"><p>A plastic bag clip was incidentally found anchored in the mucosa of a partial colectomy specimen 2.6 cm proximal to a ruptured diverticulum for which the patient, a mentally retarded, diabetic, 58-year-old man, underwent surgery. Over 20 cases of accidental ingestion of plastic bag clips have been published. Known complications include small bowel perforation, obstruction, dysphagia, gastrointestinal bleeding and colonic impaction. Preoperative diagnosis of plastic clips lodged in the gastrointestinal tract is frustrated due to radiographic translucency. This occult threat could likely be prevented by the design of gastrointestinally safe, plastic-bag-sealing devices. Presented here is a morphologically based classification of bag clips as a possible guide for determining the most hazardous varieties and to aid further discussions of their impact on health.</p>
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<contrib-group><contrib contrib-type="author"><name><surname>Lehmer</surname>
<given-names>Larisa M</given-names>
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<addr-line>Arroyo Grande Community Hospital, Arroyo Grande, California, USA</addr-line>
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<author-notes><corresp><bold>Correspondence to</bold>
Dr. Bruce D Ragsdale, <email>bragsdale@ccpathology.com</email>
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<pub-date pub-type="epub"><day>05</day>
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<abstract><p>A plastic bag clip was incidentally found anchored in the mucosa of a partial colectomy specimen 2.6 cm proximal to a ruptured diverticulum for which the patient, a mentally retarded, diabetic, 58-year-old man, underwent surgery. Over 20 cases of accidental ingestion of plastic bag clips have been published. Known complications include small bowel perforation, obstruction, dysphagia, gastrointestinal bleeding and colonic impaction. Preoperative diagnosis of plastic clips lodged in the gastrointestinal tract is frustrated due to radiographic translucency. This occult threat could likely be prevented by the design of gastrointestinally safe, plastic-bag-sealing devices. Presented here is a morphologically based classification of bag clips as a possible guide for determining the most hazardous varieties and to aid further discussions of their impact on health.</p>
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