A Case of a Rectal Press-through Package that could be Endoscopically Removed

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  • 内視鏡で摘除し得た直腸Press Through Package（PTP）の1例

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Abstract

<p>A 76-year-old man visited our hospital complaining of pain during defecation. Rectal examination revealed an anal fissure at the 6 o'clock position. Sharp induration was suggested. The anus was highly tense owing to pain, and anoscopy confirmed the anal fissure at the 6 o'clock position. He was conservatively treated with anal ointment and analgesics and was followed up 1 week later, during which time the pain did not improve. Therefore, rectal endoscopy was performed because it was suggested that there was a fish bone stuck in the anus, resulting in the formation of a localized abscess near the anal crypt. There was a press-through pack (PTP) measuring approximately 2 cm in diameter above the anal canal, and a deep fissure had formed. The PTP was extracted using a recovery net. There was no mediastinal emphysema or free air on computed tomography, and the symptoms improved with conservative treatment.</p><p>PTP is a form of drug packaging with aluminum foil and vinyl chloride, and gastrointestinal damage due to accidental ingestion is often reported, but it rarely reaches the rectum intact. We encountered a PTP-induced rectal foreign body and succeeded in endoscopically removing it. We report this case with a review of the literature.</p>

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