A Dental Instrument Swallowed during Dental Treatment was Successfully Removed from the Ascending Colon Using Laparoscopic Surgery

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  • KURIHARA Arisa
    Digestive Disease Center, Showa University Northern Yokohama Hospital Department of Surgery, Yokohama Asahi Central Hospital
  • ISHIYAMA Yasuhiro
    Department of Surgery, Kawasaki Saiwai Hospital
  • ISHIDA Fumio
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • KUDO Shin-ei
    Digestive Disease Center, Showa University Northern Yokohama Hospital

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Other Title
  • 腹腔鏡下に摘出した歯科治療中の誤飲による上行結腸内異物の1例
  • 症例 腹腔鏡下に摘出した歯科治療中の誤飲による上行結腸内異物の1例
  • ショウレイ フククウキョウ カ ニ テキシュツ シタ シカ チリョウ チュウ ノ ゴイン ニ ヨル ジョウギョウ ケッチョウ ナイ イブツ ノ 1レイ

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Abstract

<p>We encountered a 44-year-old male patient who accidentally swallowed a dental instrument (Peeso Reamer) while undergoing dental treatment five days prior. He had no abdominal pain. Abdominal X-ray showed a 4 cm foreign body in the lower right abdomen. Plain abdominal computed tomography (CT) examination revealed a foreign body in the ascending colon. There were no perforations or abdominal abscess on abdominal CT. On X-ray, the foreign body appeared fixed in the right lower abdomen on hospital day 2. Therefore, we performed laparoscopic surgery using an X-ray imaging scope. We confirmed the presence of a foreign body in the ascending colon. We cut the ascending colon and removed the dental instrument laparoscopically. We then repaired the hole using a suture ligament and an auto-suture device. The patient's postoperative course was uneventful and he was discharged five days later.</p>

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