A Case of Sigmoid Colon Perforation by a Toothpick Treated by Laparoscopic-Assisted Surgery

DOI Web Site Web Site 6 References
  • YOSHIMINE Sota
    Dept. of Surgery, Shuto General Hospital, Yamaguchi Prefectural Federation of Japan Agricultural Cooperatives for Health and Welfare
  • SEYAMA Atsushi
    Dept. of Surgery, Shuto General Hospital, Yamaguchi Prefectural Federation of Japan Agricultural Cooperatives for Health and Welfare
  • SUGA Atsushi
    Dept. of Surgery, Shuto General Hospital, Yamaguchi Prefectural Federation of Japan Agricultural Cooperatives for Health and Welfare
  • HAYASHI Masanori
    Dept. of Surgery, Shuto General Hospital, Yamaguchi Prefectural Federation of Japan Agricultural Cooperatives for Health and Welfare
  • INOUE Takashi
    Dept. of Surgery, Shuto General Hospital, Yamaguchi Prefectural Federation of Japan Agricultural Cooperatives for Health and Welfare
  • MORITA Tomoaki
    Dept. of Surgery, Shuto General Hospital, Yamaguchi Prefectural Federation of Japan Agricultural Cooperatives for Health and Welfare

Bibliographic Information

Other Title
  • 腹腔鏡補助下に手術を施行した爪楊枝によるS状結腸穿孔の1例
  • フククウキョウ ホジョ カ ニ シュジュツ オ シコウ シタ ツマヨウジ ニ ヨル Sジョウ ケッチョウ センコウ ノ 1レイ

Search this article

Abstract

Laparoscopy is useful for minimally invasive detailed examination of patients with suspected gastrointestinal perforation. Here we report a case of gastrointestinal perforation of unknown cause that was diagnosed laparoscopically as perforation of the sigmoid colon by a toothpick. The patient was a 41-year-old woman. She presented with a chief complaint of left lower abdominal pain and CT showed a small amount of free air in the peritoneal cavity, so emergency surgery was performed. Laparoscopy revealed a foreign body penetrating the sigmoid colon. After mobilization of the sigmoid colon, the surgical technique was switched to minilaparotomy and partial sigmoid colectomy was performed. The foreign body that had penetrated the intestine was identified as a toothpick. We later learned that the patient had become intoxicated while eating at a yakiniku barbecue restaurant 7 days prior to the operation, and she guessed that she had accidentally consumed a toothpick stuck in an onion. Gastrointestinal perforation by a toothpick is rare and is difficult to diagnose preoperatively because toothpicks appear transparent on X-ray imaging. In this case, laparoscopy was useful for identifying the site and cause of perforation as well as the extent of leakage into the peritoneal cavity.

Journal

References(6)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top