HwaMei Hospital, University of Chinese Academy of Sciences; Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences; Key Laboratory of Diagnosis and Treatment of Digestive System Tumors of Zhejiang Province; Ningbo Clinical Research Center for Digestive System Tumors, Ningbo, Zhejiang, P. R. China.
J Int Med Res. 2021 Feb;49(2):300060520982828. doi: 10.1177/0300060520982828.
Large bowel perforation is an acute abdominal emergency requiring rapid diagnosis for proper treatment. The high mortality rate associated with large bowel perforation underlines the importance of an accurate and timely diagnosis. Computed tomography is useful for diagnosis of ingested foreign bodies, and endoscopic repair using clips can be an effective treatment of colon perforations. We herein describe a 78-year-old man with sigmoid colon perforation caused by accidental swallowing of a jujube pit. The jujube pit had become stuck in the wall of the sigmoid colon and was successfully removed by colonoscopy, avoiding an aggressive surgery. As a result of developments in endoscopic techniques, endoscopic closure has become a feasible option for the management of intestinal perforation.
大肠穿孔是一种需要快速诊断和适当治疗的急性腹部急症。大肠穿孔的高死亡率突出了准确和及时诊断的重要性。计算机断层扫描有助于诊断吞食异物，使用夹闭器进行内镜修复可以成为治疗结肠穿孔的有效方法。本文描述了一例 78 岁男性因意外吞食枣核导致乙状结肠穿孔的病例。枣核卡在乙状结肠壁内，通过结肠镜成功取出，避免了激进的手术。随着内镜技术的发展，内镜闭合已成为治疗肠穿孔的一种可行选择。
