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Corpo estranho no ceco retirado por colonoscopia

Foreign body of the cecum withdrawn by colonoscopy

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Foreign body of the cecum withdrawn by colonoscopy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:

    Dr. Jefferson Lessa Soares de Macedo
    SQS 102 Bloco "H" Apt
    o 106
    70330-080 - Brasília - DF
  • Datas de Publicação

    • Publicação nesta coleção
      26 Jul 2010
    • Data do Fascículo
      Fev 1998

    Histórico

    • Aceito
      15 Set 1997
    • Recebido
      17 Jan 1997
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