A Case in Which a Hairpin Stuck in a Diverticulum of the Sigmoid Colon for a Long Time Was Removed by Laparoscopic and Endoscopic Cooperative Surgery

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  • S状結腸憩室内に両端が嵌入したヘアピンを腹腔鏡内視鏡合同手術で経肛門的に摘除し得た1例
  • Sジョウ ケッチョウ ケイ シツナイ ニ リョウタン ガ カンニュウシタ ヘアピン オ フククウキョウ ナイシキョウ ゴウドウ シュジュツ デ ケイコウモンテキ ニ テキジョシ エタ 1レイ

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Abstract

<p>The patient was an 85-year-old woman in whom a plain abdominal X-ray revealed a linear foreign body in the pelvis, and CT showed a high-absorptive foreign body measuring 6 cm in length stuck within a diverticulum of the sigmoid colon. The patient was referred to our internal medicine department because it was determined that removal of the hairpin by colonoscopy was necessary due to the risk of intestinal perforation due to the foreign body being stuck in the gastrointestinal tract for a long time. Colonoscopy revealed a hairpin with both ends stuck within the wall of a diverticulum of the sigmoid colon, making it poorly mobile. As the risk of intestinal perforation during removal was high and endoscopic removal was deemed difficult, we performed laparoscopic and endoscopic cooperative surgery. The hairpin was safely removed by the colonoscopy without damage to the bowel. We report this case, as so far, there have been no case reports of a hairpin becoming stuck in a diverticulum of the sigmoid colon; the hairpin in our case could be safely removed by laparoscopic and endoscopic cooperative surgery adding a literature consideration.</p>

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