Fukuda Shinsaku, Mikami Tatsuya, Shimoyama Tadashi, Hanabata Norihiro, Iwamura Hideki, Munakata Akihiro
First Department of Internal Medicine, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori 036-8562, Japan.
World J Gastroenterol. 2005 Sep 14;11(34):5390-1. doi: 10.3748/wjg.v11.i34.5390.
We experienced a very rare complication of colonoscopy, a migration of stiffening tube into the colorectum. We herein introduce a withdrawing method of migrating stiffening tube incidentally inserted into the colorectum. A 65-year-old Japanese woman underwent colonoscopy because of abdominal discomfort. We used stiffening tube to insert the scope to the proximal colon because of her redundant sigmoid colon. When withdrawing the scope, we realized that the tube was fully inside the colorectum. We could not remove the tube instantly, and it reached the splenic flexure, finally. We reinserted the scope through the migrating tube, straightened the scope, and withdrew it holding a slight angle of the scope over the proximal end of the tube. Then, we could safely remove the tube along with the scope through the anus.
我们遇到了结肠镜检查中一种非常罕见的并发症，即硬化管移入结直肠。在此，我们介绍一种顺便插入结直肠的硬化管的取出方法。一名65岁的日本女性因腹部不适接受了结肠镜检查。由于她的乙状结肠冗长，我们使用硬化管将结肠镜插入近端结肠。在拔出结肠镜时，我们意识到管子完全进入了结直肠内。我们无法立即取出管子，最终它到达了脾曲。我们通过移入的管子重新插入结肠镜，将结肠镜伸直，并在管子近端上方以轻微角度握住结肠镜将其拔出。然后，我们能够通过肛门安全地将管子与结肠镜一起取出。
