结肠镜取出直乙状结肠交界憩室内异物一例

Foreign Body in Diverticulum of Junction of Rectum and Sigmoid Colon Removed by Colonoscopy: A Case Report

消化道异物在临床上较为常见,但通过胃镜、结肠镜取出者较少。影响治疗方法的因素主要有患者年龄及临床状况,摄入异物的大小、形状、性质和部位等。本文报道了1例误吞鸡骨患者,鸡骨下行至直乙状结肠交界处,嵌顿在憩室内达2个月,出现严重的炎症反应,最终通过结肠镜将异物成功取出。

Foreign bodies（FBs） in alimentary tract are common in clinic.Most of them can be excreted spontaneously through conservative treatment and some of them need surgery to remove,but the FBs taken out by gastroscopy and colonoscopy are not many.Factors affecting the treatment are mainly patients＇ age,clinical status as well as the size,shape,nature and location of foreign body.This paper reports a case that accidentally swallowed a piece of chicken bone.The chicken bone went downward to the junction of rectum and sigmoid colon and was embedded within the diverticulum for two months,thus leading to severe inflammation reaction of the patient.Fortunately,the foreign body was removed successfully by colonoscopy.