Endoscopic management of delayed perforation of the rectum caused by foreign body entering anus.
EAES Academy. Bozkurt A. 07/05/22; 366514; P231
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Rectum perforation caused by a foreign body (FB) is a common presentatition. It occurs mostly patients with chronic constipation whose use an instrument for defecation.
Delayed perforation of the bowel by a FB can also occur, but is even more common. The ideal management of perforation of the colon by endoclip remains to be established because of its very low incidence. Definite surgery is the usual treatment. Here, we report on a 18-year-old male patient who presented with severe rectal and urethal bleeding owing to rectal and bladder perforation caused by a wooden stick. A computed tomography scan revealed that the fistula with rectum and bladder. This was further confirmed by colonoscopy after bowel preparation. Rectal perforation was closed using 5 endoscopic clips. The patient made an uneventful recovery.
Delayed perforation of the bowel by a FB can also occur, but is even more common. The ideal management of perforation of the colon by endoclip remains to be established because of its very low incidence. Definite surgery is the usual treatment. Here, we report on a 18-year-old male patient who presented with severe rectal and urethal bleeding owing to rectal and bladder perforation caused by a wooden stick. A computed tomography scan revealed that the fistula with rectum and bladder. This was further confirmed by colonoscopy after bowel preparation. Rectal perforation was closed using 5 endoscopic clips. The patient made an uneventful recovery.
Rectum perforation caused by a foreign body (FB) is a common presentatition. It occurs mostly patients with chronic constipation whose use an instrument for defecation.
Delayed perforation of the bowel by a FB can also occur, but is even more common. The ideal management of perforation of the colon by endoclip remains to be established because of its very low incidence. Definite surgery is the usual treatment. Here, we report on a 18-year-old male patient who presented with severe rectal and urethal bleeding owing to rectal and bladder perforation caused by a wooden stick. A computed tomography scan revealed that the fistula with rectum and bladder. This was further confirmed by colonoscopy after bowel preparation. Rectal perforation was closed using 5 endoscopic clips. The patient made an uneventful recovery.
Delayed perforation of the bowel by a FB can also occur, but is even more common. The ideal management of perforation of the colon by endoclip remains to be established because of its very low incidence. Definite surgery is the usual treatment. Here, we report on a 18-year-old male patient who presented with severe rectal and urethal bleeding owing to rectal and bladder perforation caused by a wooden stick. A computed tomography scan revealed that the fistula with rectum and bladder. This was further confirmed by colonoscopy after bowel preparation. Rectal perforation was closed using 5 endoscopic clips. The patient made an uneventful recovery.
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