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经肛门异物残留的处理：一例病例报告

Management of retained trans-anal foreign body: a case report.

作者信息

Asumanu Edward, Akwei Clement Nii Akwei, Saeed Abdullai, Addai Jermaine

机构信息

Department of Surgical Division, Military Hospital, Accra, Ghana.

Department of Anaesthesia Division, Military Hospital, Accra, Ghana.

出版信息

Pan Afr Med J. 2022 Jun 8;42:105. doi: 10.11604/pamj.2022.42.105.29651. eCollection 2022.

DOI:10.11604/pamj.2022.42.105.29651
PMID:36034009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9392008/
Abstract

Management of retained trans-anal foreign bodies is yet to be standardized. We present a case of how a retained trans-anal colonic body spray can affect the anal sphincter and its effect on management. A male adult presented with a retained trans-anal body spray can in the colon and a weakened anal sphincter. A plain abdominal X-ray and colonoscopy confirmed the diagnosis. After a failed endoscopic removal, a non-operative manual removal was done. Sphincter tone improved 3 days later. The article describes anal sphincter weakness, patient categorization, and non-operative management of the retained colonic foreign body.

摘要

经肛门异物残留的处理方法尚未标准化。我们报告一例经肛门残留结肠内的身体喷雾器如何影响肛门括约肌及其对处理的影响。一名成年男性因结肠内残留经肛门置入的身体喷雾器且肛门括约肌功能减弱前来就诊。腹部X线平片和结肠镜检查确诊了病情。内镜下取出失败后，进行了非手术手法取出。3天后括约肌张力有所改善。本文描述了肛门括约肌无力、患者分类以及结肠内异物残留的非手术处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/626b/9392008/d2a6f5836c49/PAMJ-42-105-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/626b/9392008/d2a6f5836c49/PAMJ-42-105-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/626b/9392008/d2a6f5836c49/PAMJ-42-105-g001.jpg

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本文引用的文献

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Retained sex toys: an increasing and possibly preventable medical condition.滞留性玩具：一种日益增多且可能可预防的医学状况。
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Surgical management of anorectal foreign bodies.肛肠异物的手术治疗
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Transanal removal of a broken drinking glass self-inserted and retained in the rectum.经肛门取出自行插入并留存于直肠内的破碎玻璃杯。
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A Management Algorithm for Retained Rectal Foreign Bodies.直肠异物残留的管理算法
Am J Mens Health. 2017 May;11(3):684-692. doi: 10.1177/1557988316680929. Epub 2016 Nov 29.
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Increasing trend in retained rectal foreign bodies.直肠内异物残留呈上升趋势。
World J Gastrointest Surg. 2016 Oct 27;8(10):679-684. doi: 10.4240/wjgs.v8.i10.679.
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Management of rectal foreign bodies.直肠异物的处理。
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Audit of diabetic soft tissue infection and foot disease in Accra.阿克拉糖尿病软组织感染与足部疾病审计
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