A Case of Perforation of the Colon Caused by a Press Through Package
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- Motojuku Megumi
- Department of Surgery, Tokai Hachioji University Hospital
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- Oida Yasuhisa
- Department of Surgery, Tokai Hachioji University Hospital
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- Morikawa Goryu
- Department of Surgery, Tokai Hachioji University Hospital
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- Hoshikawa Tatsuhiko
- Department of Surgery, Tokai Hachioji University Hospital
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- Nakamura Tomoki
- Department of Surgery, Tokai Hachioji University Hospital
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- Tajima Takayuki
- Department of Surgery, Tokai Hachioji University Hospital
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- Mukai Masaya
- Department of Surgery, Tokai Hachioji University Hospital
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- Makuuchi Hiroyasu
- Department of Digestive Surgery, Tokai University School of Medicine
Bibliographic Information
- Other Title
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- PTPの誤飲による大腸穿孔の1例
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Abstract
A 78-year-old female visited the emergency clinic of our hospital due to persistent left lower abdominal pain and slight fever. Since abdominal CT revealed findings suggestive of inflammation extending from the sigmoid colon to the area around the superior portion of the rectum, the patient was admitted for observation. Colonoscopy after admission showed a sheet-like foreign body in the aforementioned area, and abdominal CT on the following day showed ascites and intraperitoneal free air around the siqmoid colon. Colonic peraoration due to the foreign body was suspected, and emergency operation was performed. There was much Eiterbelag and localized turbid ascites around the superior portion of the rectum. In addition, a small perforation with leakage of feces was observed in the right wall of the sigmoid colon. A Hartmann operation was performed. The resected specimen showed injury of the intestinal mucosa caused by the sharp angle of a press=through package (PTP) and ulcer formation. In recent years, reports of PTP ingestion have been increasing, but few cases of colon is perforation caused by it have been veported. Since patients are often unaware of having ingested a PTP and preoperative diagnosis is difficult, the possibility of PTP ingestion as a cause of perforation and peritonitis should be considered in the elderly.
Journal
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- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 27 (4), 659-662, 2007
Japanese Society for Abdominal Emergency Medicine
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Details 詳細情報について
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- CRID
- 1390001204735021824
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- NII Article ID
- 10019484490
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- NII Book ID
- AN10426469
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- ISSN
- 18824781
- 13402242
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed