Sigmoid colon perforation by ingested Sandorica seed.

ABSTRACT

This retrospective descriptive study of Sigmoid colon perforation by ingested Sandorica seed in patients who were admitted to Prachomklao Hospital from 1996 to 2000. Nine cases were included in this study. Most cases were elderly with a mean age of 65 years (range 52-78 years). The main symptoms were abdominal pain with generalized peritonitis and severe tenderness at the suprapubic area, ileus and persistent vomiting. In all cases, the diagnosis was made at operation, with removal of the Sandorica seed, closure of the perforation at the rectosigmoid colon with simple suture and proximal transverse loop colostomy. Post-operative complications included two cases of wound infection.