{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T04:07:14Z","timestamp":1783051634226,"version":"3.54.6"},"reference-count":36,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T00:00:00Z","timestamp":1684886400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>The ingestion of foreign bodies is a common cause for presentation in the emergency department by pediatric, adult, or elderly psychiatric patients. Swallowed foreign bodies sometimes represent a great challenge for surgeons due to the obstruction or perforation of the digestive tube\u2019s upper or lower segments. Occasionally, the foreign bodies detected in the lower parts of the digestive tube (colon and rectum) could be introduced through the anal route with the risk of perforation of the rectum or sigmoid colon. In this report, we describe a unique case of a foreign body located in the sigmoid colon, where it arrived due to backstabbing and was retained for 7 years without acute symptoms. The 43-year-old male patient came to the emergency department with pain in the left iliac fossa. Before his presentation, a computerized tomography (CT) scan examination had suggested a foreign body. A surgical approach was decided. The surgery started as an exploratory laparoscopy and was converted to a xiphoid-pubic incision to extract the foreign body (a piece of glass about 8 cm long) through a sigmoid colotomy followed by a double-layer sigmoidorrhaphy. The postoperative evolution of the patient was uneventful. As far as we know, this is the first case of a patient with a foreign glass body positioned in the sigmoid colon that got there by stabbing and not by ingestion or introduced per anum. In conclusion, we suggest that aggressive behavior and abdominal wall penetration by different sharp objects should be considered when foreign bodies are detected in the abdomen.<\/jats:p>","DOI":"10.3390\/reports6020024","type":"journal-article","created":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T02:00:55Z","timestamp":1684980055000},"page":"24","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Unique Case of Foreign Body Acquired by Stabbing and Retained for 7 Years in the Sigmoid Colon"],"prefix":"10.3390","volume":"6","author":[{"given":"Iulia Cristina","family":"P\u00eervulescu","sequence":"first","affiliation":[{"name":"Surgery Clinic, Emergency Clinical Hospital, 014461 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfred","family":"Najm","sequence":"additional","affiliation":[{"name":"Surgery Clinic, Emergency Clinical Hospital, 014461 Bucharest, Romania"},{"name":"Department of Surgery, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduard Cristian","family":"Popa","sequence":"additional","affiliation":[{"name":"Surgery Clinic, Emergency Clinical Hospital, 014461 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandru Laurentiu","family":"Chiotoroiu","sequence":"additional","affiliation":[{"name":"Surgery Clinic, Emergency Clinical Hospital, 014461 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2575-4880","authenticated-orcid":false,"given":"Sanda Maria","family":"Cretoiu","sequence":"additional","affiliation":[{"name":"Department of Morphological Sciences, Cell and Molecular Biology and Histology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0056-0740","authenticated-orcid":false,"given":"Bogdan Severus","family":"Gaspar","sequence":"additional","affiliation":[{"name":"Surgery Clinic, Emergency Clinical Hospital, 014461 Bucharest, Romania"},{"name":"Department of Surgery, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,5,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1055\/s-0042-100456","article-title":"Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline","volume":"48","author":"Birk","year":"2016","journal-title":"Endoscopy"},{"key":"ref_2","first-page":"278","article-title":"Interestingly foreign bodies in esophageal and bronchial system: Analysis of 9 cases","volume":"3","year":"2012","journal-title":"J. Clin. Anal. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1286","DOI":"10.1080\/00365521.2017.1350284","article-title":"Endoscopic management of foreign bodies in the upper gastrointestinal tract: A retrospective study of 1294 cases","volume":"52","author":"Geng","year":"2017","journal-title":"Scand. J. Gastroenterol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1055\/s-1999-13","article-title":"Management of foreign bodies in the gastrointestinal tract: An analysis of 104 cases in children","volume":"31","author":"Kim","year":"1999","journal-title":"Endoscopy"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1016\/j.gie.2010.11.010","article-title":"Management of ingested foreign bodies and food impactions","volume":"73","author":"Ikenberry","year":"2011","journal-title":"Gastrointest. Endosc."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1097\/MAJ.0b013e3182263035","article-title":"Diagnosis and endoscopic management of upper gastrointestinal foreign bodies","volume":"343","author":"Chiu","year":"2012","journal-title":"Am. J. Med. Sci."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"658602","DOI":"10.1155\/2015\/658602","article-title":"Endoscopic management of foreign bodies in the upper gastrointestinal tract of adults","volume":"2015","author":"Yao","year":"2015","journal-title":"BioMed Res. Int."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1016\/S0016-5107(02)70407-0","article-title":"American Society for Gastrointestinal Endoscopy. Guideline for the management of ingested foreign bodies","volume":"55","author":"Eisen","year":"2002","journal-title":"Gastrointest. Endosc."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.1007\/s004640042036","article-title":"Combined endoscopic and laparoscopic removal of ingested large foreign bodies. Case report and decisional algorithm","volume":"15","author":"Caratozzolo","year":"2001","journal-title":"Surg. Endosc."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e372","DOI":"10.1177\/000313481908500802","article-title":"The management of small bowel obstruction caused by ingested gastrostomy tube","volume":"85","author":"Taylor","year":"2019","journal-title":"Am. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1007\/s00464-015-4167-0","article-title":"Endoscopic foreign body removal in the upper gastrointestinal tract: Risk factors predicting conversion to surgery","volume":"30","author":"Lee","year":"2016","journal-title":"Surg. Endosc."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1016\/j.rcl.2017.02.012","article-title":"Practical Imaging Evaluation of Foreign Bodies in Children: An Update","volume":"55","author":"Laya","year":"2017","journal-title":"Radiol. Clin. N. Am."},{"key":"ref_13","first-page":"869","article-title":"Swallowed foreign bodies in adults","volume":"109","author":"Ambe","year":"2012","journal-title":"Dtsch. Arztebl. Int."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1007\/s12519-010-0231-y","article-title":"Foreign body ingestion: Children like to put objects in their mouth","volume":"6","author":"Hesham","year":"2010","journal-title":"World J. Pediatr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"475","DOI":"10.4253\/wjge.v6.i10.475","article-title":"Endoscopic management of foreign bodies in the upper gastrointestinal tract: A review","volume":"6","author":"Sugawa","year":"2014","journal-title":"World J. Gastrointest. Endosc."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1155\/2005\/516195","article-title":"Management of ingested foreign bodies","volume":"19","author":"Telford","year":"2005","journal-title":"Can. J. Gastroenterol."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Pinto, A., Sparano, A., and Cinque, T. (2012). Errors in Radiology, Springer.","DOI":"10.1007\/978-88-470-2339-0_20"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1111\/j.1463-1318.2004.00699.x","article-title":"Colorectal foreign bodies","volume":"7","author":"Clarke","year":"2005","journal-title":"Color. Dis."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e00420","DOI":"10.14309\/crj.0000000000000420","article-title":"Sigmoid Colon Perforation Caused by an Unapparent Foreign Body","volume":"7","author":"Wehbeh","year":"2020","journal-title":"ACG Case Rep. J."},{"key":"ref_20","first-page":"10542","article-title":"Diagnosis and treatment of foreign body perforations of the digestive tract in children","volume":"11","author":"Jin","year":"2018","journal-title":"Int. J. Clin. Exp. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"3892","DOI":"10.3748\/wjg.v19.i24.3892","article-title":"Foreign body impaction in the sigmoid colon: A twenty euro bet","volume":"19","author":"Lakatos","year":"2013","journal-title":"World J. Gastroenterol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1001\/archsurg.1977.01370060023003","article-title":"Principles of management of colorectal foreign bodies","volume":"112","author":"Eftaiha","year":"1977","journal-title":"Arch. Surg"},{"key":"ref_23","first-page":"312","article-title":"Management of colorectal foreign bodies","volume":"41","author":"Cohen","year":"1996","journal-title":"J. R. Coll. Surg. Edinb."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1007\/s10140-012-1101-9","article-title":"Finding nemo: Imaging findings, pitfalls, and complications of ingested fish bones in the alimentary canal","volume":"20","author":"Liew","year":"2013","journal-title":"Emerg. Radiol."},{"key":"ref_25","first-page":"382","article-title":"Intestinal perforation in adults due to ingested opaque foreign bodies","volume":"66","author":"Ziter","year":"1976","journal-title":"Am. J. Gastroenterol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1590\/0100-3984.2015.0127","article-title":"Intestinal perforation by an ingested foreign body","volume":"49","author":"Nicolodi","year":"2016","journal-title":"Radiol. Bras."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1884","DOI":"10.3748\/wjg.v11.i12.1884","article-title":"Small-bowel perforation caused by fish bone","volume":"11","author":"Hsu","year":"2005","journal-title":"World J. Gastroenterol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1016\/0002-9610(57)90580-9","article-title":"Foreign body perforation of the intestinal tract","volume":"94","author":"McPherson","year":"1957","journal-title":"Am. J. Surg."},{"key":"ref_29","first-page":"1592","article-title":"Digestive foreign body management","volume":"11","author":"Fraga","year":"2015","journal-title":"Rev. Med. Suisse"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"90","DOI":"10.4321\/S1130-01082012000200008","article-title":"Sigmoid colon perforation due to a foreign body ingestion","volume":"104","year":"2012","journal-title":"Rev. Esp. Enferm. Dig."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1016\/j.cursur.2004.12.014","article-title":"Chronic Perforation of the Sigmoid Colon by Foreign Body","volume":"62","author":"Ali","year":"2005","journal-title":"Curr. Surg."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"63","DOI":"10.3348\/kjr.2009.10.1.63","article-title":"Gastrointestinal tract perforation: MDCT findings according to the perforation sites","volume":"10","author":"Kim","year":"2009","journal-title":"Korean J. Radiol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1016\/S0196-0644(05)82562-4","article-title":"Radiographic screening for glass foreign bodies\u2014What does a \u201cnegative\u201d foreign body series really mean?","volume":"19","author":"Courter","year":"1990","journal-title":"Ann. Emerg. Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1259\/0007-1285-58-685-27","article-title":"Penetrating injuries: How easy is it to see glass (and plastic) on radiographs?","volume":"58","author":"Evans","year":"1985","journal-title":"Br. J. Radiol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"300060520982828","DOI":"10.1177\/0300060520982828","article-title":"Successful colonoscopic removal of a foreign body that caused sigmoid colon perforation: A case report","volume":"49","author":"Ma","year":"2021","journal-title":"J. Int. Med. Res."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"S806","DOI":"10.14309\/01.ajg.0000780856.54543.2d","article-title":"A case of a foreign body embedded in the sigmoid colon","volume":"116","author":"Tierney","year":"2021","journal-title":"Am. J. Gastroenterol."}],"container-title":["Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2571-841X\/6\/2\/24\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:40:53Z","timestamp":1760125253000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2571-841X\/6\/2\/24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,24]]},"references-count":36,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,6]]}},"alternative-id":["reports6020024"],"URL":"https:\/\/doi.org\/10.3390\/reports6020024","relation":{},"ISSN":["2571-841X"],"issn-type":[{"value":"2571-841X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,24]]}}}