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01121 Journal of Nara Medical Association >
Vol.66 No.1-2 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/3152

Title: 3次元Multi-detectorCT画像により早期診断し,大腸内視鏡下に摘出し得た爪楊枝による超高齢者大腸穿通の1例
Other Titles: Endoscopic removal of a toothpick penetrating the sigmoid colon diagnosed by multi-detector CT with 3D reconstruction
Authors: 杉山, 浩平
松山, 友美
白井, 謙一
簗瀬, 公嗣
浪崎, 正
山崎, 正晴
吉治, 仁志
福井, 博
Keywords: マルチスライスCT
Issue Date: 30-Apr-2015
Publisher: 奈良医学会
Citation: Journal of Nara Medical Association Vol.66 No.1-2 p.25-30
Abstract: We present herein a case of sigmoid penetration, caused by accidental ingestion of a toothpick and resolved by endoscopic removal. An 85-year-old woman with moderate dementia was referred to our hospital by the primary care doctor for a further examination of minor localized left lower quadrant rebound tenderness. Multi-detector CT (MDCT) revealed sigmoid colon penetration by a linear structure and adjacent opaque adipose tissue. She was admitted as an emergency case to our hospital with localized peritonitis. A 3D reconstruction image confirmed that a 6 cm-long toothpick had pierced the sigmoid colon. However, the abdominal CT scan showed sigmoid colon penetration with no evidence of abscess formation or free air. Toothpick ingestion-related penetration was successfully managed with an endoscopic retrieval procedure followed by broad-spectrum antibiotic coverage. She was eventually discharged in fair condition. Here, we report this case of an 85-year-old female patient with accidental toothpick ingestion who was diagnosed with sigmoid colon penetration by MDCT with 3D reconstruction, and underwent successful endoscopic removal.
URI: http://hdl.handle.net/10564/3152
ISSN: 13450069
Appears in Collections:Vol.66 No.1-2

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