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Small intestinal perforation

MedGen UID:
57483
•Concept ID:
C0151739
•
Pathologic Function
Synonyms: Perforation of small intestine; Small bowel perforation; Small Intestinal Perforation
SNOMED CT: Perforation of small intestine (235741002); Small bowel perforation (235741002)
 
HPO: HP:0031370

Definition

A hole (perforation) in the wall of the small intestine. [from HPO]

Professional guidelines

PubMed

Emergency Medicine Evaluation and Management of Small Bowel Obstruction: Evidence-Based Recommendations.
Long B, Robertson J, Koyfman A
J Emerg Med 2019 Feb;56(2):166-176. Epub 2018 Dec 6 doi: 10.1016/j.jemermed.2018.10.024. PMID: 30527563
Meckel's diverticulum: clinical features, diagnosis and management.
Kuru S, Kismet K
Rev Esp Enferm Dig 2018 Nov;110(11):726-732. doi: 10.17235/reed.2018.5628/2018. PMID: 30032625
A Systematic Review of the Clinical Presentation, Diagnosis, and Treatment of Small Bowel Obstruction.
Rami Reddy SR, Cappell MS
Curr Gastroenterol Rep 2017 Jun;19(6):28. doi: 10.1007/s11894-017-0566-9. PMID: 28439845

Recent clinical studies

Etiology

Gastrointestinal histoplasmosis with small intestinal perforation: 20-year experience.
Sample JW, Yonkus JA, Mirande MD, Graham RP, Kelley SR
Updates Surg 2024 Jun;76(3):1015-1023. Epub 2024 Mar 20 doi: 10.1007/s13304-024-01797-4. PMID: 38507175
Small Intestinal Perforation after 360-Degree Liposuction: A Case Report.
Bekeny JC, Huffman SS, Thomas C, Tumminello M, Kata A, Parikh R, Tom LK, Kleiber GM
Aesthetic Plast Surg 2024 Mar;48(5):946-952. Epub 2023 Aug 31 doi: 10.1007/s00266-023-03567-w. PMID: 37653177
Primary anastomosis and suturing combined with vacuum-assisted abdominal closure in patients with secondary peritonitis due to perforation of the small intestine: a retrospective study.
Rajabaleyan P, Jensen RO, Möller S, Qvist N, Ellebaek MB
BMC Surg 2023 Sep 15;23(1):280. doi: 10.1186/s12893-023-02179-0. PMID: 37715227Free PMC Article
Treatment of Children Trichobezoar a Retrospective Study of 11 Cases.
HanBin Z, Chunjiang Y, Yi W
Klin Padiatr 2022 Jul;234(4):215-220. Epub 2022 Mar 31 doi: 10.1055/a-1689-0062. PMID: 35359020
A comparative study of small intestinal perforation secondary to foreign body and other non-traumatic causes.
Chen Q, Huang Y, Wu Y, Zhao K, Zhu B, He T, Xing C
Ulus Travma Acil Cerrahi Derg 2015 Mar;21(2):107-12. doi: 10.5505/tjtes.2015.43896. PMID: 25904271

Diagnosis

Gastrointestinal histoplasmosis with small intestinal perforation: 20-year experience.
Sample JW, Yonkus JA, Mirande MD, Graham RP, Kelley SR
Updates Surg 2024 Jun;76(3):1015-1023. Epub 2024 Mar 20 doi: 10.1007/s13304-024-01797-4. PMID: 38507175
Treatment of Children Trichobezoar a Retrospective Study of 11 Cases.
HanBin Z, Chunjiang Y, Yi W
Klin Padiatr 2022 Jul;234(4):215-220. Epub 2022 Mar 31 doi: 10.1055/a-1689-0062. PMID: 35359020
A comparative study of small intestinal perforation secondary to foreign body and other non-traumatic causes.
Chen Q, Huang Y, Wu Y, Zhao K, Zhu B, He T, Xing C
Ulus Travma Acil Cerrahi Derg 2015 Mar;21(2):107-12. doi: 10.5505/tjtes.2015.43896. PMID: 25904271
Sonography of small bowel perforation.
Kuzmich S, Burke CJ, Harvey CJ, Kuzmich T, Fascia DT
AJR Am J Roentgenol 2013 Aug;201(2):W283-91. doi: 10.2214/AJR.12.9882. PMID: 23883242
Detection and prevention of NSAID-induced enteropathy.
Davies NM, Saleh JY, Skjodt NM
J Pharm Pharm Sci 2000 Jan-Apr;3(1):137-55. PMID: 10954683

Therapy

Gastrointestinal histoplasmosis with small intestinal perforation: 20-year experience.
Sample JW, Yonkus JA, Mirande MD, Graham RP, Kelley SR
Updates Surg 2024 Jun;76(3):1015-1023. Epub 2024 Mar 20 doi: 10.1007/s13304-024-01797-4. PMID: 38507175
Small Intestinal Perforation after 360-Degree Liposuction: A Case Report.
Bekeny JC, Huffman SS, Thomas C, Tumminello M, Kata A, Parikh R, Tom LK, Kleiber GM
Aesthetic Plast Surg 2024 Mar;48(5):946-952. Epub 2023 Aug 31 doi: 10.1007/s00266-023-03567-w. PMID: 37653177
Small Intestinal Perforation Caused by Enteric-coated Low-dose Aspirin.
Matsubara S, Sada KE, Sawada H, Oida J, Tanaka K
Intern Med 2023 Jan 15;62(2):233-235. Epub 2022 Jun 21 doi: 10.2169/internalmedicine.9681-22. PMID: 35732453Free PMC Article
Detection and prevention of NSAID-induced enteropathy.
Davies NM, Saleh JY, Skjodt NM
J Pharm Pharm Sci 2000 Jan-Apr;3(1):137-55. PMID: 10954683
Side effects of nonsteroidal anti-inflammatory drugs on the small and large intestine in humans.
Bjarnason I, Hayllar J, MacPherson AJ, Russell AS
Gastroenterology 1993 Jun;104(6):1832-47. doi: 10.1016/0016-5085(93)90667-2. PMID: 8500743

Prognosis

Gastrointestinal histoplasmosis with small intestinal perforation: 20-year experience.
Sample JW, Yonkus JA, Mirande MD, Graham RP, Kelley SR
Updates Surg 2024 Jun;76(3):1015-1023. Epub 2024 Mar 20 doi: 10.1007/s13304-024-01797-4. PMID: 38507175
A case of Hodgkin lymphoma-type Richter syndrome presenting as small-intestinal perforation.
Miki K, Ogasawara R, Sugimura S, Sugita J, Nozu R, Kojima K, Hidaka D, Shimizu A, Okada K, Kobayashi N, Ogasawara M, Imamura M, Matsuno Y, Ota S
Int J Hematol 2023 Dec;118(6):766-771. Epub 2023 Sep 6 doi: 10.1007/s12185-023-03655-2. PMID: 37672179
Metastatic melanoma causing small intestinal perforation at the jejunojejunostomy after Roux-en-Y gastric bypass: a case report.
De Hous N, Peeters J, Lockefeer F, Pauli S, Van Cleemput M, Bestman R
Acta Chir Belg 2023 Dec;123(6):691-694. Epub 2022 Sep 16 doi: 10.1080/00015458.2022.2122315. PMID: 36069503
Insidious Onset of Localised Small Intestinal Perforation by Ingested Plastic Fork.
Yilmaz S, Aydin H, Bolukbasi H
J Coll Physicians Surg Pak 2022 Aug;32(8):1070-1072. doi: 10.29271/jcpsp.2022.08.1070. PMID: 35932137
Treatment of Children Trichobezoar a Retrospective Study of 11 Cases.
HanBin Z, Chunjiang Y, Yi W
Klin Padiatr 2022 Jul;234(4):215-220. Epub 2022 Mar 31 doi: 10.1055/a-1689-0062. PMID: 35359020

Clinical prediction guides

Insidious Onset of Localised Small Intestinal Perforation by Ingested Plastic Fork.
Yilmaz S, Aydin H, Bolukbasi H
J Coll Physicians Surg Pak 2022 Aug;32(8):1070-1072. doi: 10.29271/jcpsp.2022.08.1070. PMID: 35932137
Small intestinal perforation due to a huge gastrointestinal stromal tumor in a kidney transplant recipient: a case report and literature review.
Takahashi R, Shinoda K, Ishida T, Hamamoto Y, Morita S, Akita H, Kitaoka S, Tamaki S, Asanuma H, Yoshida T, Jinzaki M, Kameyama K, Oya M
BMC Nephrol 2019 Apr 3;20(1):120. doi: 10.1186/s12882-019-1310-5. PMID: 30943904Free PMC Article
Effect of thoracic epidural block on infection-induced inflammatory response: A randomized controlled trial.
Tyagi A, Bansal A, Das S, Sethi AK, Kakkar A
J Crit Care 2017 Apr;38:6-12. Epub 2016 Oct 18 doi: 10.1016/j.jcrc.2016.10.006. PMID: 27829181
A phase II clinical trial of pegylated liposomal doxorubicin and carboplatin plus bevacizumab in patients with platinum-sensitive recurrent ovarian, fallopian tube, or primary peritoneal cancer.
del Carmen MG, Micha J, Small L, Street DG, Londhe A, McGowan T
Gynecol Oncol 2012 Sep;126(3):369-74. Epub 2012 May 30 doi: 10.1016/j.ygyno.2012.05.028. PMID: 22659190
Role of thoracic epidural block in improving post-operative outcome for septic patients: a preliminary report.
Tyagi A, Seelan S, Sethi AK, Mohta M
Eur J Anaesthesiol 2011 Apr;28(4):291-7. doi: 10.1097/EJA.0b013e3283416691. PMID: 21119517

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