A Case of Multiple Congenital Colon Stenosis Found after Perforation from an Ingested Small Toy

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  • SUMIDA Wataru
    Department of Pediatric Surgery, Aichi Children's Health and Medical Center
  • OOSHIMA Kazuo
    Department of Pediatric Surgery, Aichi Children's Health and Medical Center

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Other Title
  • 誤飲おはじきで下行結腸穿孔を起こした多発性先天性大腸狭窄症の1例
  • 症例 誤飲おはじきで下行結腸穿孔を起こした多発性先天性大腸狭窄症の1例
  • ショウレイ ゴインオハジキ デ カコウケッチョウ センコウ オ オコシタ タハツセイ センテンセイ ダイチョウ キョウサクショウ ノ 1レイ

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We experienced a case of congenital colon stenosis with multiple membranous lesions. A two-year-old girl was admitted to our hospital because of severe abdominal pain and frequent vomiting. Her condition indicated the necessity of urgent surgical intervention, so we decided to perform an emergency operation. We found four sites of stenosis in the colon which was also perforated at a stenotic site in the descending colon. The colon perforation appeared to be caused by an ulcer which developed from an ingested toy marble at the stenotic site. A double-barreled stoma was created in this operation, and the stoma was subsequently closed after 18 months. To date, the patient is in good health with no evidence of recurrence. Congenital colon stenosis is extremely rare, with only nine case reports published ; however, none of these reports described multiple membranous stenosis presented by colon perforation from an ingested small toy.

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