Plastic bag clip discovered in partial colectomy accompanying proposal for phylogenic plastic bag clip classification. 2011

Larisa M Lehmer, and Bruce D Ragsdale, and John Daniel, and Edwin Hayashi, and Robert Kvalstad
Western Dermatopathology Department, Central Coast Pathology, San Luis Obispo, California, USA.

A plastic bag clip was incidentally found anchored in the mucosa of a partial colectomy specimen 2.6 cm proximal to a ruptured diverticulum for which the patient, a mentally retarded, diabetic, 58-year-old man, underwent surgery. Over 20 cases of accidental ingestion of plastic bag clips have been published. Known complications include small bowel perforation, obstruction, dysphagia, gastrointestinal bleeding and colonic impaction. Preoperative diagnosis of plastic clips lodged in the gastrointestinal tract is frustrated due to radiographic translucency. This occult threat could likely be prevented by the design of gastrointestinally safe, plastic-bag-sealing devices. Presented here is a morphologically based classification of bag clips as a possible guide for determining the most hazardous varieties and to aid further discussions of their impact on health.

UI MeSH Term Description Entries
D007416 Intestinal Perforation Opening or penetration through the wall of the INTESTINES. Intestinal Perforations,Perforation, Intestinal,Perforations, Intestinal
D008297 Male Males
D008607 Intellectual Disability Subnormal intellectual functioning which originates during the developmental period. This has multiple potential etiologies, including genetic defects and perinatal insults. Intelligence quotient (IQ) scores are commonly used to determine whether an individual has an intellectual disability. IQ scores between 70 and 79 are in the borderline range. Scores below 67 are in the disabled range. (from Joynt, Clinical Neurology, 1992, Ch55, p28) Disability, Intellectual,Idiocy,Mental Retardation,Retardation, Mental,Deficiency, Mental,Intellectual Development Disorder,Mental Deficiency,Mental Retardation, Psychosocial,Deficiencies, Mental,Development Disorder, Intellectual,Development Disorders, Intellectual,Disabilities, Intellectual,Disorder, Intellectual Development,Disorders, Intellectual Development,Intellectual Development Disorders,Intellectual Disabilities,Mental Deficiencies,Mental Retardations, Psychosocial,Psychosocial Mental Retardation,Psychosocial Mental Retardations,Retardation, Psychosocial Mental,Retardations, Psychosocial Mental
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010969 Plastics Polymeric materials (usually organic) of large molecular weight which can be shaped by flow. Plastic usually refers to the final product with fillers, plasticizers, pigments, and stabilizers included (versus the resin, the homogeneous polymeric starting material). (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Plastic
D003082 Colectomy Surgical resection of a portion of or the entire colon. Hemicolectomy,Large Bowel Resection,Colectomies,Hemicolectomies,Large Bowel Resections,Resection, Large Bowel,Resections, Large Bowel
D003108 Colonic Diseases Pathological processes in the COLON region of the large intestine (INTESTINE, LARGE). Colonic Disease,Disease, Colonic,Diseases, Colonic
D004240 Diverticulum A pouch or sac developed from a tubular or saccular organ, such as the GASTROINTESTINAL TRACT. Diverticulosis,Diverticula
D005547 Foreign Bodies Inanimate objects that become enclosed in the body. Foreign Objects,Gossypiboma,Retained Surgical Instruments,Retained Surgical Items,Retained Surgical Needle,Retained Surgical Sponge,Retained Surgical Tools,Textiloma,Bodies, Foreign,Body, Foreign,Foreign Body,Foreign Object,Gossypibomas,Object, Foreign,Objects, Foreign,Retained Surgical Instrument,Retained Surgical Item,Retained Surgical Needles,Retained Surgical Sponges,Retained Surgical Tool,Surgical Instrument, Retained,Surgical Instruments, Retained,Surgical Item, Retained,Surgical Items, Retained,Surgical Needle, Retained,Surgical Needles, Retained,Surgical Sponge, Retained,Surgical Sponges, Retained,Surgical Tool, Retained,Surgical Tools, Retained,Textilomas
D006555 Hernia, Ventral A hernia caused by weakness of the anterior ABDOMINAL WALL due to midline defects, previous incisions, or increased intra-abdominal pressure. Ventral hernias include UMBILICAL HERNIA, incisional, epigastric, and spigelian hernias. Ventral Hernia,Hernias, Ventral,Ventral Hernias

Related Publications

Larisa M Lehmer, and Bruce D Ragsdale, and John Daniel, and Edwin Hayashi, and Robert Kvalstad
June 1989, Archives of emergency medicine,
Larisa M Lehmer, and Bruce D Ragsdale, and John Daniel, and Edwin Hayashi, and Robert Kvalstad
May 2005, ANZ journal of surgery,
Larisa M Lehmer, and Bruce D Ragsdale, and John Daniel, and Edwin Hayashi, and Robert Kvalstad
January 1983, The British journal of clinical practice,
Larisa M Lehmer, and Bruce D Ragsdale, and John Daniel, and Edwin Hayashi, and Robert Kvalstad
August 1959, Svenska lakartidningen,
Larisa M Lehmer, and Bruce D Ragsdale, and John Daniel, and Edwin Hayashi, and Robert Kvalstad
September 2016, Gastroenterology,
Larisa M Lehmer, and Bruce D Ragsdale, and John Daniel, and Edwin Hayashi, and Robert Kvalstad
January 2018, International journal of surgery case reports,
Larisa M Lehmer, and Bruce D Ragsdale, and John Daniel, and Edwin Hayashi, and Robert Kvalstad
April 1953, United States Armed Forces medical journal,
Larisa M Lehmer, and Bruce D Ragsdale, and John Daniel, and Edwin Hayashi, and Robert Kvalstad
November 1966, Surgery, gynecology & obstetrics,
Larisa M Lehmer, and Bruce D Ragsdale, and John Daniel, and Edwin Hayashi, and Robert Kvalstad
January 1967, Deutsche Zeitschrift fur die gesamte gerichtliche Medizin,
Larisa M Lehmer, and Bruce D Ragsdale, and John Daniel, and Edwin Hayashi, and Robert Kvalstad
December 1960, British medical journal,
Copied contents to your clipboard!