Resumo
The foreign body ingestion ocurrs often with children, olds, psychiatrics patients, prisoners or after excessive alcoholic ingestion. Most of foreign bodies (80-90%) passes spontaneously, 10 a 20% have to be removed by endoscopy and only one per cent (1%) needs to be removed by surgery. The authors report a case of a 49-year-old woman who swallowed a needle which impacted in cecum. The patient had psychosis maniac-depressive and swallowed the foreign body aiming self-damage. The presence of foreign body in cecum is rare because of physiologic straitments in the gastrointestinal tract. The ingestion of needle corresponds six percent (6%) of swallowed objects aiming self-damage. Colonoscopy served for localization the foreign body and its withdrawal with success. Colonoscopy for removing foreign bodies is a safe and cheap procedure.
Foreign body; Colonoscopy; Cecum
Foreign body; Colonoscopy; Cecum
RELATOS DE CASOS
Corpo estranho no ceco retirado por colonoscopia
Foreign body of the cecum withdrawn by colonoscopy
Jefferson Lessa Soares de Macedo, RCBC-DFI; Estevão Garcia CastroII; Sérgio Tamura, ACBC-DFII; Murilo Boavista Pessoa MendesIII
IResidente da Clínica Cirúrgica do Hospital das Forças Armadas (HFA), Brasília-DF
IIMédicos do Serviço de Coloproctologia do HFA
IIIChefe do Serviço de Coloproctologia do HFA
Endereço para correspondência Endereço para correspondência: Dr. Jefferson Lessa Soares de Macedo SQS 102 Bloco "H" Apt o 106 70330-080 - Brasília - DF
SUMMARY
The foreign body ingestion ocurrs often with children, olds, psychiatrics patients, prisoners or after excessive alcoholic ingestion. Most of foreign bodies (80-90%) passes spontaneously, 10 a 20% have to be removed by endoscopy and only one per cent (1%) needs to be removed by surgery. The authors report a case of a 49-year-old woman who swallowed a needle which impacted in cecum. The patient had psychosis maniac-depressive and swallowed the foreign body aiming self-damage. The presence of foreign body in cecum is rare because of physiologic straitments in the gastrointestinal tract. The ingestion of needle corresponds six percent (6%) of swallowed objects aiming self-damage. Colonoscopy served for localization the foreign body and its withdrawal with success. Colonoscopy for removing foreign bodies is a safe and cheap procedure.
Key words: Foreign body; Colonoscopy; Cecum.
Texto completo disponível apenas em PDF.
Full text available only in PDF format.
Recebido em 17/1/97
Aceito para publicação em 15/9/97
Trabalho realizado no Serviço de Coloprocto1ogia do Hospital das Forças Armadas - HFA- Brasília-DF.
- 1. Callon RA Jr, Brady PG. Toothpick perforation of the sigmoid colon: an unusual case associated with Erysipelothrix rhusiopathiae septicemia. Gastrointest Endosc 1990;36(2): 141-143.
- 2. Dávila D, Zaragoza C, Llovet F, et al. Cuerpos extraños en aparato digestivo por ingestión voluntaria. Estudio de 73 reclusos. Rev Esp Enf Digest 1987;72:127-132.
- 3. Forde KA. Therapeutic colonoscopy. World J Surg 1992;16(6): 1.048- 1.053.
- 4. Losanoff JE, Kjossev KT. Gastrointestinal "crosses". A new shade from an old palette. Arch Surg 1996;131:166-169.
- 5. Rocklin MS. Apelgren KN. Colonoscopic extraction of foreign bodies from above the rectum. Am Surg 1989;55: 119-123.
Endereço para correspondência:
Datas de Publicação
-
Publicação nesta coleção
26 Jul 2010 -
Data do Fascículo
Fev 1998
Histórico
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Aceito
15 Set 1997 -
Recebido
17 Jan 1997