Tsai Chien-Yu, Hsu Chia-Chang, Chuah Seng-Kee, Chiu King-Wah, Changchien Chi-Sin
Division of Gastroenterology, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaoshiung, Taiwan, ROC.
Chang Gung Med J. 2003 Nov;26(11):843-6.
The diagnosis of impacted foreign body in the colon is usually delayed until the complications such as perforation or abscess formation occur. Here we describe a patient who presented with diffuse abdominal pain due to the impaction of a dental prosthesis in the hepatic flexure of the colon. The dental prosthesis, which was inadvertently swallowed, was successfully removed under colonoscopy. Unexplained abdominal pain should alert the clinician to the possibility of foreign body ingestion and further therapeutic colonoscopy may replace or lessen the need for surgical procedures to extract foreign bodies from the colon.
结肠内异物嵌顿的诊断通常会延迟到诸如穿孔或脓肿形成等并发症出现时才做出。在此，我们描述一位因假牙嵌顿于结肠肝曲而出现弥漫性腹痛的患者。这颗无意中被吞下的假牙在结肠镜检查下被成功取出。不明原因的腹痛应提醒临床医生注意异物摄入的可能性，进一步的治疗性结肠镜检查可能会替代或减少从结肠中取出异物所需的外科手术。
