箸使用摘便による直腸穿孔の１例

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  • A Case of Rectal Perforation due to Extraction of Feces with Chopsticks.

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A 75-year-old woman who had had a weak long constipation, was seen at the hospital because of lower abdominal pain. She had no signs of retroperitoneal inflammation at that time, but then she had anal bleeding and the abdominal pain gradually increased. An abdominal X-ray film showed a linear air track along the descending aorta, and an abdominal computed tomography revealed a retroperitoneal air space behind the third portion of the duodenum coming down to the bifurcation of the aorta. These findings suggested rectal perforation, and a detailed interview disclosed that she had tried to take feces out by herself with chopsticks. Therefore, the diagnosis of rectal perforation due to extraction of feces with chopsticks was made finally. A colostomy at the sigmoid colon and open drainage and debridment of the retroperitoneal space were performed. The post-operative course was uneventful, and reconstruction of the colostomy was performed on the 30th postoperative day, and the patient was discharged home on foot.

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