A 90-year-old @entity1 was admitted to the emergency department of our hospital with @entity490 and a fever of up to 39  C. She had a history of hysterectomy about 30 years previously, and redness and @entity4 were seen at the abdominal median scar. Serum biochemistry showed minor elevation of C-reactive protein and @entity908 phosphokinase. Abdominal computed tomography (CT) showed an @entity4 intestinal tract image over the median abdominal wall. @entity547 and @entity39 were suspected. Therefore, emergency surgery was performed. On laparotomy, abundant purulent ascitic fluid was found. The small intestine was incarcerated about 100 cm orally from the terminal ileum, and a 2-mm perforation was present in the incarcerated small intestine. In addition, some white areas measuring 1 mm were found in the small intestinal wall. A press-through package (PTP) of a tablet was confirmed in the intestinal tract near the perforated area. We removed the PTP through the perforation and performed direct suture. Postoperatively, we retrospectively reviewed the CT image and found a high-density shadow which seemed to represent the PTP.

Inadvertent Ingestion of a Press-Through Package Causing Perforation of the Small Intestine within an Incisional XXXX and Panperitonitis.

@entity1 :: ('9606', 'Species') :: ['woman'] @entity39 :: ('MESH:D009336', 'Disease') :: ['intestinal necrosis'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edematous', 'swelling'] @entity908 :: ('MESH:D003401', 'Chemical') :: ['creatine'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity547 :: ('MESH:D006547', 'Disease') :: ['Incarcerated incisional hernia']
@entity547 :: (MESH:D006547,Disease) :: ['Hernia']
