Yang JH, Lan JY, Lin AY, Huang WB, Liao JY. Three-dimensional computed tomography reconstruction diagnosed digestive tract perforation and acute peritonitis caused by Monopterus albus: A case report. World J Gastrointest Surg 2023; 15(10): 2351-2356 [PMID: 37969708 DOI: 10.4240/wjgs.v15.i10.2351]
Corresponding Author of This Article
Jin-Yuan Liao, Doctor, MD, Professor, Department of Radiology, The First Affiliated Hospital of Guangxi Medical University, No. 6 Shuangyong Road, Nanning 530021, Guangxi Zhuang Autonomous Region, China. 274264889@qq.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Oct 27, 2023; 15(10): 2351-2356 Published online Oct 27, 2023. doi: 10.4240/wjgs.v15.i10.2351
Three-dimensional computed tomography reconstruction diagnosed digestive tract perforation and acute peritonitis caused by Monopterus albus: A case report
Jin-Han Yang, Jin-Ying Lan, An-Yuan Lin, Wei-Biao Huang, Department of Radiology, Guiping People’s Hospital, Guigang 537200, Guangxi Zhuang Autonomous Region, China
Jin-Yuan Liao, Department of Radiology, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China
Author contributions: Yang JH and Lan JY contributed to manuscript writing and editing, as well as data collection; Lin AY and Huang WB contributed to data analysis; Liao JY contributed to conceptualization and supervision; and all authors have read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jin-Yuan Liao, Doctor, MD, Professor, Department of Radiology, The First Affiliated Hospital of Guangxi Medical University, No. 6 Shuangyong Road, Nanning 530021, Guangxi Zhuang Autonomous Region, China. 274264889@qq.com
Received: June 5, 2023 Peer-review started: June 5, 2023 First decision: July 23, 2023 Revised: August 4, 2023 Accepted: August 27, 2023 Article in press: August 27, 2023 Published online: October 27, 2023
Abstract
BACKGROUND
Few reports have described living foreign bodies in the human body. The current manuscript demonstrates that computed tomography (CT) is an effective tool for accurate preoperative evaluation of living foreign bodies in clinic. The three-dimensional (3D) reconstruction technology could clearly display anatomical structures, lesions and adjacent organs, improving diagnostic accuracy and guiding the surgical decision-making process.
CASE SUMMARY
Herein we describe a 68-year-old man diagnosed with digestive tract perforation and acute peritonitis caused by a foreign body of Monopterus albus. The patient presented to the emergency department with complaints of dull abdominal pain, profuse sweating and a pale complexion during work. A Monopterus albus had entered the patient’s body through the anus two hours ago. During hospitalization, the 3D reconstruction technology revealed a perforation of the middle rectum complicated with acute peritonitis and showed a clear and complete Monopterus albus bone morphology in the abdominal and pelvic cavities, with the Monopterus albus biting the mesentery. Laparoscopic examination detected a large (diameter of about 1.5 cm) perforation in the mid-rectum. It could be seen that a Monopterus albus had completely entered the abdominal cavity and had tightly bitten the mesentery of the small intestine. During the operation, the dead Monopterus albus was taken out.
CONCLUSION
The current manuscript demonstrates that CT is an effective tool for accurate preoperative evaluation of living foreign bodies in clinic.
Core Tip: Computed tomography (CT) is an effective tool for accurate preoperative evaluation of living foreign bodies in the human body. Three-dimensional (3D) CT reconstruction could clearly display anatomical structures, lesions and adjacent organs, improving diagnostic accuracy. In the present case, preoperative 3D CT reconstruction accurately showed a foreign body located outside the intestinal cavity with a perforation site, and revealed that the foreign body had damaged the mesentery in the small intestine, causing fluid and gas accumulation, as well as peritoneal thickening. These findings indicate preoperative 3D CT reconstruction may accurately locate perforation sites and foreign bodies, help diagnose peritonitis and guide surgical treatment.
