The article presents the results of clinical observation of a child with multiple alien bodies ileum, partial intestinal obstruction, inflammatory infiltrates of the abdominal cavity, multiple perforations of the ileum. The article maps the problems, arising in such situations, especially in pediatric patients. The question of the diagnosis of these conditions and the tactics of healing these patients is very difficult, especially when it comes to patients of early childhood.
gastrointestinal tract, multiple alien bodies, survey radiography, partial intestinal obstruction, inflammatory infiltrates, multiple perforations, diagnostic laparoscopy.
Инородные тела (лат. – corpora aliena) желудочно-кишечного тракта (ЖКТ) – это различные предме-ты, попавшие в него случайно или умышленно либо образовавшиеся в нем [1, 5, 6, 12]. Проблема инородных тел (ИТ) существовала всегда, но пристального внимания к себе не привлекала, т. к. методов диагностики и лечения не существовало до появления рентгенологии и эндоскопии [5-8].
1. Blagitko E.M., Vardosanidze K.V., Kiselev A.A. Inorodnye tela. Novosibirsk: Nauka, Sibirskaya izdatel´skaya firma RAN, 1996. 200 s.
2. Inorodnye tela zheludochno-kishechnogo trakta u rebenka na fone chastichnoy obturatsionnoy kishechnoy neprokhodimosti / Veselyy S.V., Sopov G.A., Latyshov K.V. [i dr.]// Detskaya khirurgiya. 2012. № 1. S. 50-51.
3. Volkov S.S., Koval´chuk E.S., Lantsova E.E., Nichik V.G. Mnozhestvennye inorodnye tela zheludochno-kishechnogo trakta u devochki 14 let. Detskaya khirurgiya. 2004. № 6. S. 55-56.
4. Voynovskiy A.E., Azarov G.V., Kolyadenkova T.G. Diagnostika i lechenie pri inorodnykh telakh zheludochno-kishechnogo trakta. Khirurgiya. Zhurnal im. N.I. Pirogova. 2012. № 8. S. 51-54.
5. Gegechkori Yu.A., Gegechkori Z.Yu., Babaev F.A. Osobennosti diagnostiki i lechebnoy taktiki pri inorodnykh telakh zheludochno-kishechnogo trakta. Voenno-meditsinskiy zhurnal. 1991. № 9. S. 67.
6. Endoskopiya pishchevaritel´nogo trakta / Nazarov V.E. [i dr.]. M.: Triada-Farm, 2002. 176 s.
7. Nemchinov Yu.M. Taktika obsledovaniya i khirurgicheskogo lecheniya bol´nykh s inorodnymi telami zheludochno-kishechnogo trakta: Avtoref. dis. kand. med. nauk. Ufa, 2010. 45 s.
8. Ol´shevskiy P.P., Krasnov V.I. Diagnostika i lechenie nerentgenokontrastnykh inorodnykh tel pishchevoda. Voenno-meditsinskiy zhurnal. 1991. № 4. S. 69-70.
9. Storonnі predmeti kishechniku u dіtey / Ribal´s´kiy V.D., Urіn O.M., Koltash O.T. [i dr.].. Khіrurgіya dityachogo vіku. 2010. T. 6. № 2(27). S. 79-83.
10. Arana A., Hauser B., Hachimi-Idrissi S., Vandenplas Y. Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr. 2001. V. 160(8). P. 468-472.
11. Binder L., Anderson W.A. Pediatric gastrointestinal foreign body ingestions. Ann Emerg Med. 1984. V. 13. P. 112-117.
12. Chen M.K., Beierle E.A. Gastrointestinal foreign bodies. Pediatr Ann. 2001. Vol. 30(12). P. 736-742.
13. Gracia C.C., Frey F., Bodai B.I. Diagnosis and management of ingested foreign bodies: a ten-year experience. Ann. Emerg. Med. 1984. Vol. 13. P. 30-34.
14. Macmanus J.E. Perforations of the intestine by ingested foreign bodies. Report of two cases and review of the literature. Gastrointest. Endosc. 1982. Vol. 28. P. 26-28.
15. Velitchkov N.G., Grigorov G.I., Losanoff J.E. Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases. World J. Surg. 1996. Vol. 20(8). P. 1001-1005.
