Tsukamoto Ryoichi, Miyano Shozo, Machida Michio, Kitabatake Toshiaki, Fujisawa Minoru, Kojima Kuniaki
Department of General Surgery, Juntendo Nerima Hospital, Tokyo, Japan.
Case Rep Gastroenterol. 2018 Sep 18;12(3):551-555. doi: 10.1159/000444520. eCollection 2018 Sep-Dec.
A 40-year-old male without any past medical history accidentally swallowed a titanium dental instrument (reamer) for root canal treatment. A cathartic was prescribed at a local hospital, and the course was observed. However, since the reamer was not excreted in feces, he was referred to our hospital. After admission, CT, lower gastrointestinal endoscopy, and barium enema revealed the migration of a foreign body into the appendix and its protrusion into the intraperitoneal cavity. As an emergency operation, laparoscopic appendectomy including the foreign body was performed. The following course was favorable without postoperative complications, and he was discharged on the 2nd hospital day. We report a patient with appendiceal perforation due to a foreign body (dental instrument for root canal treatment) in the appendix.
一名40岁男性，无既往病史，意外吞食了用于根管治疗的钛制牙科器械（扩孔钻）。当地医院给予了泻药并观察病程。然而，由于扩孔钻未随粪便排出，他被转诊至我院。入院后，CT、下消化道内镜检查和钡灌肠显示异物迁移至阑尾并突出至腹腔。作为急诊手术，进行了包括异物在内的腹腔镜阑尾切除术。术后病程顺利，无并发症，患者于住院第2天出院。我们报告了一例因阑尾内异物（根管治疗用牙科器械）导致阑尾穿孔的患者。
