Kato Shingo, Kani Kazuhito, Takabayashi Hidehiko, Yamamoto Ryuichi, Yakabi Koji
Shingo Kato, Kazuhito Kani, Hidehiko Takabayashi, Ryuichi Yamamoto, Koji Yakabi, Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University, Kawagoe City, Saitama 350-8550, Japan.
World J Gastrointest Endosc. 2011 Apr 16;3(4):78-80. doi: 10.4253/wjge.v3.i4.78.
Accidentally swallowed foreign objects are not uncommon but difficult to manage without complications. We describe the case of a 68 year old man who accidentally a swallowed sharp-pointed dental reamer that had reached deep in his jejunum. Double balloon enteroscopic retrieval was performed with polypectomy snare but the reamer was entangled in the wire loop of the snare and penetrated the jejunal wall. After releasing the reamer by pushing and pulling the snare for approximately 30 min, the reamer was retrieved with biopsy forceps. This is the first report of double balloon enteroscopic removal of a dental reamer. Furthermore, this is a novel case with regard to decision making in situations when sharp objects are swallowed.
意外吞食异物并不罕见，但若无并发症则难以处理。我们描述了一名68岁男性的病例，他意外吞食了一根尖锐的牙用铰刀，该铰刀已深入其空肠。使用息肉切除圈套器进行了双气囊小肠镜取出术，但铰刀缠绕在圈套器的金属丝环中并穿透了空肠壁。通过推拉圈套器约30分钟释放铰刀后，用活检钳取出了铰刀。这是首例关于双气囊小肠镜取出牙用铰刀的报告。此外，这是一例在吞食尖锐物体情况下决策方面的新病例。
