Abstract
Key Clinical MessageThe report suggests that, when the patient's history, clinical examination, and findings do not lead to a clear diagnosis in case of an acute abdomen, a laparoscopic approach, that has both, diagnostic and therapeutic value, is advised.
Highlights
Key Clinical Message The report suggests that, when the patient’s history, clinical examination, and findings do not lead to a clear diagnosis in case of an acute abdomen, a laparoscopic approach, that has both, diagnostic and therapeutic value, is advised
Pelvic fluid collection was confirmed; there was no evidence of acute appendicitis, but a distinct transition zone between normal and abnormally dilated small bowel was found, caused by a solid material in the intestinal lumen (Fig. 2)
Enterotomy revealed the intraluminal presence of a vinyl glove causing small bowel obstruction (Figs 3–4)
Summary
A rare cause of mechanical bowel obstruction: ingested vinyl glove. Keywords Acute abdomen, foreign body, laparoscopy, small bowel obstruction, vinyl glove. A 15-year-old girl, with a negative past medical history, was referred to our department with right lower quadrant pain, tenderness, and rebound pain. A peritonitis due to acute appendicitis, with concomitant dynamic ileus, was suspected, and a small bowel obstruction as an alternative. Pelvic fluid collection was confirmed; there was no evidence of acute appendicitis, but a distinct transition zone between normal and abnormally dilated small bowel was found, caused by a solid material in the intestinal lumen (Fig. 2)
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