Endoscopic Removal of a Pork Bone from the Sigmoid Colon in a Patient with Ulcerative Colitis

Korean J Gastrointest Endosc > Volume 37(1); 2008 > Article

Korean Journal of Gastrointestinal Endoscopy 2008;37(1): 51-54.

궤양성 대장염환자에서 발생한 S자 결장 이물의 내시경적 제거 1예

이시형ㆍ장병익ㆍ김태년

영남대학교 의과대학 소화기내과학교실

Endoscopic Removal of a Pork Bone from the Sigmoid Colon in a Patient with Ulcerative Colitis

Si Hyung Lee, M.D., Byung Ik Jang, M.D. and Tae Nyeun Kim, M.D.

Division of Gastroenterology, Department of Internal Medicine, Yeungnam University School of Medicine, Daegu, Korea

Abstract

Inflammatory bowel disease is a risk factor for low gastrointestinal foreign body impaction, but such cases are very rare. Impaction of a foreign body in the lower gastrointestinal tract can result in perforation, bleeding, abscess formation and fistula. A risk factor for perforation is inflammatory bowel disease, a sharp foreign body and a long-standing foreign body in the gastrointestinal tract. Thus, a foreign body in the lower gastrointestinal tract should be promptly removed by surgery or endoscopy. Most of these cases can currently be managed by endoscopy because of the development of endoscopic devices and the accumulation of experience. Here we report on a case of successful removal of a pork bone from the sigmoid colon in a patient with ulcerative colitis. (Korean J Gastrointest Endosc 2008;37:51-54)

Key Words: Foreign body, Ulcerative colitis, Endoscopic removal

주요어: 대장이물, 궤양성 대장염, 내시경적 제거