A CASE OF TWO SEQUENTIAL PERFORATIONS OF LARGE BOWEL CAUSED BY A FISH BONE, RESULTING IN BOTH CHRONIC AND ACUTE SYMPTOMS
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概要
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An elderly man in his seventies visited our hospital by bicycle complaining of abdominal distention and left lower quadrant pain. A CT scan showed free air, the thickening wall of the descending colon, and a 4-cm linear, high-density shadow in the descending colon. Following much discussion, we assumed that the perforation of the large bowel had been caused by a fish bone. An emergency operation was performed. There were two perforations, one at the transverse colon and the other at the descending colon due to the stuck fish bone. There was a state of general peritonitis. Left hemicolectomy, lavage, and transverse colostomy were performed. Upon removal of the specimen, the shape of the fish bone resembled the shapes of both holes it had left. Thus, one fish bone apparently caused two sequential perforations of the large bowel, causing both chronic and acute symptoms.
- 日本臨床外科学会の論文
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