Chronic Perforation of the Sigmoid Colon by Foreign Body
| Autor: | Waleed A. Al-Busairi, Emad Y. Esbaita, Fawzi E. Ali, Mahmoud A. Al-Bustan |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment Perforation (oil well) Colonoscopy Comorbidity Mentally retarded Inflammatory bowel disease Colon Sigmoid Intellectual Disability Laparotomy medicine Humans Foreign Bodies Sigmoid Diseases medicine.diagnostic_test business.industry Sigmoid colon medicine.disease digestive system diseases Surgery medicine.anatomical_structure Intestinal Perforation Chronic Disease Foreign body business |
| Zdroj: | Current Surgery. 62:419-422 |
| ISSN: | 0149-7944 |
| DOI: | 10.1016/j.cursur.2004.12.014 |
| Popis: | Colorectal foreign bodies (FBs) may be ingested or introduced transanally and then migrate proximally. Without a reliable history, it may be impossible to determine which way a certain colorectal FB gained access. We present a case of a nonverbal mentally retarded boy with a flat piece of plastic impacted in the sigmoid colon, the colonoscopic extraction of which failed. He underwent laparotomy more than a year later to remove the FB, where chronic perforation of the sigmoid colon was discovered. The perforation was sealed with extensive adhesions to the pelvic wall, and histologically, the colon showed a chronic granulomatous reaction. We discuss the types, presentations, and diagnosis of intestinal perforation with FBs. Chronic perforation may present with radiologic and pathologic features that suggest inflammatory bowel disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect