Ali Fawzi E, Al-Busairi Waleed A, Esbaita Emad Y, Al-Bustan Mahmoud A
Medical Rehabilitation Center, Kuwait.
Curr Surg. 2005 Jul-Aug;62(4):419-22. doi: 10.1016/j.cursur.2004.12.014.
Colorectal foreign bodies (FBs) may be ingested or introduced transanally and then migrate proximally. Without a reliable history, it may be impossible to determine which way a certain colorectal FB gained access. We present a case of a nonverbal mentally retarded boy with a flat piece of plastic impacted in the sigmoid colon, the colonoscopic extraction of which failed. He underwent laparotomy more than a year later to remove the FB, where chronic perforation of the sigmoid colon was discovered. The perforation was sealed with extensive adhesions to the pelvic wall, and histologically, the colon showed a chronic granulomatous reaction. We discuss the types, presentations, and diagnosis of intestinal perforation with FBs. Chronic perforation may present with radiologic and pathologic features that suggest inflammatory bowel disease.
结直肠异物（FBs）可能经口摄入或经肛门置入，然后向近端迁移。若没有可靠的病史，可能无法确定某一结直肠异物是通过何种途径进入的。我们报告一例病例，一名不会说话的智障男孩，一块扁平塑料片嵌顿在乙状结肠，结肠镜下取出失败。一年多后他接受了剖腹手术以取出异物，术中发现乙状结肠慢性穿孔。穿孔处被广泛的与盆腔壁的粘连封闭，组织学检查显示结肠呈现慢性肉芽肿反应。我们讨论了伴有异物的肠穿孔的类型、表现及诊断。慢性穿孔可能呈现出提示炎性肠病的放射学和病理学特征。
