難治性S状結腸―大腿部皮膚瘻に対し瘻孔鏡が有用であった1例

概要

論文の詳細を見る
This report concerns our experience with a case of intractable femoral fistula caused by a residual foreign object, where the fisteloscopy was helpful. The patient is a male aged 35. On having fallen from a high elevation in August 1998, some pieces of bamboo stuck into the left femur. Surgical operation was carried out twice in another hospital. The patient visited our department because persistent pyorrhea and pain at the thign. Contrast imaging of fistula, computed tomography and enema examination revealed a communication between the foreign body and the large intestine. The endoscopy through the femoral fistula allowed to identify the foreign object as a piece of bamboo, which was difficult to remove because of its large size. On laparotomy, the bamboo piece was recognized in the fistula of sigmoid colon, prompting partial sigmoidectomy. The foreign object in the thigh was removed under observation with fistula-endoscope. The endoscopy was also useful for postoperational checking for residual foreign body.
Japan Gastroenterological Endoscopy Society Kanto Chapterの論文