结肠内异物(巨型萝卜)

Anna Yuriyivna Gorolyuk, Yuriyivna
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引用次数: 0

摘要

结肠异物是一种选择性的胃肠道异物。一个重要的临床特征是大的异物通过直肠到达乙状结肠和降结肠。在这种情况下,肠梗阻的发展,肠壁的直接损伤或形成褥疮,随后穿孔和发展粪便性腹膜炎是危险的。在临床文献记载的病例中,绝大多数异物是自愿引入的,约10%的病例有暴力起源[1]。通常,出于羞愧,患者会将原因归咎于“意外进入”直肠的物体。在之前的文献中,我们发现了各种类型和大小的直肠外物体:苹果[2]、胡萝卜[3]、橡胶球[4,5]、玻璃容器[6]、牙刷[7]、花瓶[8]的塑料盖。每种情况下的切除方法都是独立的:从手动到剖腹手术,取决于插入的深度和技术能力。我们介绍我们自己的观察,一个病人有一个巨大的结肠萝卜通过肛管。目的:报告一例罕见的异物(巨萝卜)经肛门进入降结肠,未经开腹经肛管取出,未使用辅助器械。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Foreign Body (Giant Radish) in the Colon
Colonic foreign bodies are a selective case of gastrointestinal foreign bodies. A feature of clinical importance is the passage of large foreign bodies through the rectum to the sigmoid and descending colon. In this case, the development of intestinal obstruction, direct damage or the formation of bedsores of the intestinal wall with subsequent perforation and the development of fecal peritonitis is dangerous. In the vast majority of cases described in the clinical literature, foreign bodies were introduced voluntarily, about 10% of cases had a violent origin [1]. Often, out of shame, patients point to the “accidental entry” of an object into the rectum as the reason. Among the previously described in the literature, we find a variety of extraneous rectal objects by type and size: an apple [2], a carrot [3], a rubber ball [4,5], a glass container [6], a plastic cover for a toothbrush [7] vase [8]. Methods of removal in each case are individual: from manual to laparotomy, depending on the depth of penetration and technical capabilities. We present our own observation of a patient with a giant radish of the colon that got through the anal canal. Purpose: Indicate a rare case of a foreign body (giant radish) that entered the descending colon through the anus and was removed without laparotomy through the anal canal without the use of auxiliary instruments.
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