Korean J Gastrointest Endosc > Volume 43(1); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;43(1): 52-55.
직장 천공을 일으킨 연한 직장 이물질 1예
이정화ㆍ강상범ㆍ하동천ㆍ권기현ㆍ이승우ㆍ김연수ㆍ이동수ㆍ남순우
가톨릭대학교 의과대학 대전성모병원 내과학교실
A Case of a Colon Perforation Due to a Soft Rectal Foreign Body
Jeong Hwa Lee, M.D., Sang Bum Kang, M.D., Dong Cheon Ha, M.D., Ki Huyn Kwon, M.D., Seung Woo Lee, M.D., Yeon Soo Kim, M.D., Dong Soo Lee, M.D. and Soon Woo Nam, M.D.
Department of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Daejeon, Korea
Abstract
Numerous foreign bodies in the rectum have been reported in the literature. Their removal can be challenging depending on the size and shape of the objects and their anatomical location in the rectum. A 64-year-old man presented to the emergency department after inserting a sausage into his rectum. He had some rectal discomfort and lower abdominal pain. There were no signs of bowel perforation. We attempted to extract the sausage impacted in the recto-sigmoid junction by colonoscopy using a snare and grasping forceps but failed to extract the foreign body. Unfortunately, a colon perforation had occurred, and the sausage was eventually extracted by performing a colostomy at the recto-sigmoid junction with primary repair. We report this case of a soft rectal foreign body impacted in the recto-sigmoid colon complicated by a colon perforation with a literature review. (Korean J Gastrointest Endosc 2011;43:52-55)
Key Words: Soft foreign body, Colon perforation, Operation
주요어: 연성 이물질, 결장 천공, 수술
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