Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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A Case of a Colon Perforation Due to a Soft Rectal Foreign Body

직장 천공을 일으킨 연한 직장 이물질 1예

  • Lee, Jeong-Hwa (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine) ;
  • Kang, Sang-Bum (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine) ;
  • Ha, Dong-Cheon (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine) ;
  • Kwon, Ki-Huyn (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine) ;
  • Lee, Seung-Woo (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Yeon-Soo (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine) ;
  • Lee, Dong-Soo (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine) ;
  • Nam, Soon-Woo (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine)
  • 이정화 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 강상범 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 하동천 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 권기현 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 이승우 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 김연수 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 이동수 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 남순우 (가톨릭대학교 의과대학 대전성모병원 내과학교실)
  • Published : 2011.07.30
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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.

지금까지 국내에 보고된 직장 이물에 대한 대부분의 증례는 경구 섭취로 발생한 사례이고, 항문을 통한 직접 삽입에 의한 직장 이물 보고는 2예가 있었다. 그러나 2예 모두 경성 직장이물로, 켈리 클램프를 이용한 직접 제거나 수술적 제거로 치료한 보고들이었으며, 연성 직장 이물이나, 천공의 합병증이 동반된 직장 이물을 치료한 예는 없었다. 본 증례는 내원 전일 소시지를 항문으로 삽입 한 환자가 내시경 제거의 실패와 결장천공의 합병증까지 발생한 직장 이물 증례 보고로, 향후 직장내 연성 이물의 내시경 제거에 관한 여러 연구들이 더 필요할 것으로 판단되어 문헌 고찰과 함께 보고한다.

Keywords

References

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