Aduful H K
Department of Surgery, University of Ghana Medical School, P.O. Box 4236, Accra, Ghana.
Ghana Med J. 2006 Mar;40(1):31-2.
SummarySwallowed foreign bodies can be a source of morbidity or rarely mortality since they can impact in the pharynx and the oesophagus and cause discomfort or even perforate to cause mediastinitis. Most (80% to 90%)1 foreign bodies including swallowed bone pass into the stomach, proceed through the intestines and are passed in stool without problems. Swallowed bone has been documented to cause intestinal perforation2, enterovesical fistula3 and perianal abscesses4. Two cases of swallowed bones, which passed through the alimentary tract to finally cause anal pain and anal fistula, are presented. Doctors should be aware of the possibility of sharp objects being the cause of anal pain and must therefore be careful when performing digital rectal examinations to prevent injuries from these foreign objects.
摘要
吞咽异物可能会引发疾病，极少数情况下甚至会导致死亡，因为它们可能卡在咽部和食管，引起不适，甚至穿孔导致纵隔炎。大多数（80%至90%）1包括吞咽骨头在内的异物会进入胃内，通过肠道并随粪便排出而无问题。已有文献记载吞咽骨头会导致肠穿孔2、肠膀胱瘘3和肛周脓肿4。本文介绍了两例吞咽骨头后通过消化道最终导致肛门疼痛和肛瘘的病例。医生应意识到尖锐物体可能是肛门疼痛的原因，因此在进行直肠指检时必须小心，以防止被这些异物弄伤。
