Hihara Yu, Joshita Satoru, Takahashi Toshiharu, Okaniwa Shinji, Mizukami Yoshiki, Nakamura Yoshiyuki
Department of Gastroenterology, Iida Municipal Hospital, Iida, Japan; Department of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Matsumoto, Japan.
Department of Gastroenterology, Iida Municipal Hospital, Iida, Japan.
Case Rep Gastrointest Med. 2017;2017:1201404. doi: 10.1155/2017/1201404. Epub 2017 Feb 22.
We present an unusual case of a 35-year-old male patient whom a patency capsule stayed in his gut without breaking. He has a history of Peutz-Jeghers syndrome and multiple abdominal surgeries. Prestudy was performed for abdominal searching, but a patency capsule remained in the colon over 9 days. He displayed neither abdominal nor obstructive symptoms in that period. We collected the patency capsule using colonoscopy after dilating a postoperative stricture at an anastomotic site of the rectum. Clinicians should bear in mind that patency capsules may become retained as distally as the colon in patients with a surgical history of the large intestine.
我们报告了一例不同寻常的病例，一名35岁男性患者，其通畅性胶囊滞留在肠道内未破裂。他有黑斑息肉综合征病史且接受过多次腹部手术。术前进行了腹部检查，但一个通畅性胶囊在结肠内停留了9天以上。在此期间，他既没有腹部症状也没有梗阻症状。我们在扩张直肠吻合口处的术后狭窄后，通过结肠镜检查取出了通畅性胶囊。临床医生应牢记，有大肠手术史的患者，通畅性胶囊可能会在结肠远端滞留。
