Perforation of the GI is produced by sharp objects such as bone fragments, fish bones, toothpicks and paper clips 1, 5, 45, 50 that often pierce the ileocecal and rectosigmoid regions and the duodenum producing bleeding which can spread to adjacent organs 53, 66, 67, 71. Perforation can also produce fistulas 13, 15, 20, abscesses 13, 35, 39, 48, and systemic problems such as peritonitis and sepsis 13,35, 39, 48, 63, 71.
La perforación del TGI es producida por objetos puntiagudos tales como fragmentos óseos, huesos de pescado, mondadientes y ganchos 1, 5, 45, 50 que con frecuencia perforan el duodeno, la región ileocecal y rectosigmoide, migrando a los órganos vecinos donde producen hemorragia 53, 66, 67, 71, fístulas 13, 15, 20, abscesos 13, 35, 39, 48 o compromiso sistémico como peritonitis y sepsis 13, 35, 39, 48, 63, 71.