de Bakker Jk, Bruin Sc
Slotervaartziekenhuis, Amsterdam, The Netherlands.
J Surg Case Rep. 2012 Feb 1;2012(2):3. doi: 10.1093/jscr/2012.2.3.
Bowel perforation can be potentially fatal. We describe the case of a 42-year-old male who presented with severe abdominal pain following anal fisting. Clinical examination revealed tenderness of the complete abdomen with signs of peritonism. A CT-scan with rectal contrast showed a perforation of the sigmoid 40 cm above the anus. At laparoscopy, a perforation in the sigmoid colon was found and successfully repaired. Patient recovered uneventful and was discharged in 5 days. We present a unique case of a sigmoid perforation after anal fisting which was laparoscopically repaired without formation of a protective colostomy.
肠穿孔可能会危及生命。我们描述了一名42岁男性的病例，该患者在肛瘘手术后出现严重腹痛。临床检查发现全腹压痛并有腹膜炎体征。直肠造影CT扫描显示肛门上方40厘米处的乙状结肠穿孔。在腹腔镜检查中，发现乙状结肠有一个穿孔并成功修复。患者恢复顺利，5天后出院。我们报告了一例肛瘘术后乙状结肠穿孔的独特病例，该病例通过腹腔镜修复，未形成保护性结肠造口术。
