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Journals / Çukurova Anestezi ve Cerrahi Bilimler Dergisi / 2026 / Cilt: 9 Sayı: 3

Diagnosis and Management of Ingested Foreign Bodies in Unusual Localizations: A Case Series

Alışılmadık Lokalizasyonlardaki Yabancı Cisimlerin Tanısı ve Yönetimi: Olgu Serisi

Serhat Binici(YÜZÜNCÜ YIL ÜNİVERSİTESİ)0000-0003-3034-1239
Mahmut Baran Yerlikaya(YÜZÜNCÜ YIL ÜNİVERSİTESİ)0000-0002-9291-8446
Fırat Aslan(YÜZÜNCÜ YIL ÜNİVERSİTESİ)0000-0001-8508-196X
Enis Oğuz(YÜZÜNCÜ YIL ÜNİVERSİTESİ)0000-0002-9267-7355
Burhan Beger(YÜZÜNCÜ YIL ÜNİVERSİTESİ)0000-0002-1565-8062
Çetin Kotan(YÜZÜNCÜ YIL ÜNİVERSİTESİ)0000-0002-6336-4747
Pages
1021–1027
Publication Date
2026-09-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Early recognition and timely intervention remain essential for reducing morbidity and preventing complications.

📌 3 Key Takeaways

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Objective & Hypothesis:Abstract Background: This study aimed to evaluate the clinical presentations associated with ingested foreign bodies located in unusual regions of the gastrointestinal tract and to highlight the diagnostic challenges and management strategies encountered in such cases.
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Key Findings & Data:Materials and Methods: This retrospective study included 96 patients who presented to the Department of General Surgery at Van Yuzuncu yıl University between January 2015 and December 2022 and were found to have foreign bodies in the gastrointestinal tract outside the esophagus and stomach.
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Conclusion & Impact:Early recognition and timely intervention remain essential for reducing morbidity and preventing complications.
🔬Design:Araştırma Makalesi
📍Scope:2015 Verileri
⚙️Variables:Yabancı cisim yutulması · Endoskopik yönetim · Cerrahi girişim

Abstract

Abstract Background: This study aimed to evaluate the clinical presentations associated with ingested foreign bodies located in unusual regions of the gastrointestinal tract and to highlight the diagnostic challenges and management strategies encountered in such cases. Materials and Methods: This retrospective study included 96 patients who presented to the Department of General Surgery at Van Yuzuncu yıl University between January 2015 and December 2022 and were found to have foreign bodies in the gastrointestinal tract outside the esophagus and stomach. Demographic and clinical characteristics, type and localization of the foreign body, diagnostic methods, treatment approaches, and clinical outcomes were analyzed. Direct radiography and computed tomography were used for diagnostic evaluation. Treatment strategies were determined according to the patient’s clinical condition and included conservative follow-up, endoscopic removal, or surgical intervention. Results: The most common presenting symptoms were abdominal pain (52.1%) and nausea or vomiting (34.4%). Foreign bodies were most frequently located in the terminal ileum (31.3%) and jejunum (22.9%). Metallic objects (28.1%) and bone fragments (22.9%) were the most commonly identified foreign bodies. Conservative management was applied in 40.6% of cases, endoscopic removal in 21.9%, and surgical intervention in 37.5%. Among surgically treated patients, the most common indications were perforation (44.4%) and mechanical obstruction (30.6%). No mortality occurred, and the early complication rate was 14.6%. Conclusions: Foreign bodies located in unusual gastrointestinal sites may present with atypical symptoms and lead to delayed diagnosis. Early recognition and timely intervention remain essential for reducing morbidity and preventing complications.

Özet

Özet Amaç: Bu çalışma, yutulan yabancı cisimlerin sıra dışı lokalizasyonlarda oluşturduğu klinik tabloları değerlendirmeyi, tanı süreçlerindeki zorlukları ve yönetim stratejilerini ortaya koymayı amaçlamaktadır. Materyal ve Metod: Ocak 2015 – Aralık 2022 tarihleri arasında Van Yuzuncu yıl Üniversitesi Genel Cerrahi Anabilim Dalı’na başvuran ve gastrointestinal sistemde özofagus ve mide dışı lokalizasyonda yabancı cisim saptanan 96 hasta retrospektif olarak incelenmiştir. Demografik ve klinik veriler, yabancı cismin tipi ve lokalizasyonu, tanısal yöntemler, tedavi yaklaşımları ve klinik sonuçlar analiz edilmiştir. Tanısal değerlendirmede direkt grafi ve bilgisayarlı tomografi kullanılmış, tedavi yaklaşımı klinik duruma göre konservatif, endoskopik veya cerrahi olarak belirlenmiştir. Bulgular: En sık başvuru semptomları abdominal ağrı (%52,1) ve bulantı/kusmaydı (%34,4). Yabancı cisimlerin en sık lokalizasyonu terminal ileum (%31,3) ve jejunum (%22,9) olarak saptandı. Metalik cisimler (%28,1) ve kemik parçaları (%22,9) en sık görülen yabancı cisimlerdi. Konservatif izlem %40,6, endoskopik çıkarım %21,9 ve cerrahi müdahale %37,5 oranında uygulandı. Cerrahi gerektiren olgularda perforasyon (%44,4) ve mekanik obstrüksiyon (%30,6) en sık endikasyonlardı. Mortalite gözlenmedi ve erken dönem komplikasyon oranı %14,6 olarak belirlendi. Sonuç: Sıra dışı lokalizasyonda yer alan yabancı cisimler genellikle atipik semptomlarla seyrederek tanıda gecikmeye neden olabilir. Keskin ve distal ince bağırsak lokalizasyonlu cisimler cerrahi müdahale gerektirirken, üst gastrointestinal sistem yabancı cisimleri endoskopik olarak güvenle çıkarılabilir. Erken tanı, uygun görüntüleme ve zamanında müdahale morbiditeyi azaltmada kritik öneme sahiptir.

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Cite This Article

Binici, S., Yerlikaya, M. B., Aslan, F., Oğuz, E., Beger, B., Kotan, Ç. (2026). Diagnosis and Management of Ingested Foreign Bodies in Unusual Localizations: A Case Series. Çukurova Anestezi ve Cerrahi Bilimler Dergisi, Cilt: 9 Sayı: 3, 1021–1027. https://doi.org/10.36516/jocass.2004315

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