개복술로 제거한 직장이물질(유리잔)

• Published in: Annals of surgical treatment and research Vol. 74; no. 6; pp. 448 - 451
• Main Authors: 최평화(Pyong Wha Choi), 이정민(Jung Min Lee), 허태길(Tae Gil Heo), 박제훈(Je Hoon Park), 이명수(Myung Soo Lee), 김철남(Chul Nam Kim), 장석효(Surk Hyo Chang)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.06.2008
• Subjects: 일반외과학; Laparotomy; Foreign body; Rectum
• ISSN: 2288-6575; 2288-6796

Anorectal trauma associated with retained rectal foreign body is an infrequent clinical problem, but presents a challenge to physicians taking care of patients with this problem. We report a case of rectal foreign body (glass cup) extracted by laparotomy. A 49-year-old male with a history of alcoholism presented to the emergency room four days after inserting a glass cup into his rectum. He complained of vague anal pain and failure to pass flatus or stool for four days. He had attempted to extract the glass cup using various methods (digital, instrumental manipulation, enema), none of which was successful. Computed tomography revealed a glass cup lodged in the rectum, without complication. The patient was brought to the operating room, administered spinal anesthesia, and placed in lithotomy position after failure of extraction in the emergency room. Although the object was palpable, it could not be extracted either manually or by the use of forceps. We decided to perform an emergent laparotomy under general anesthesia. After the abdomen was opened, an attempt was made to milk the object toward the distal rectum. However, this proved to be impossible secondary to severe rectal mucosal edema. The glass cup was eventually extracted through performing a colotomy at the rectosigmoid junction, with primary repair. The patient's postoperative course was uneventful, and he was discharged on the eighth postoperative day. (J Korean Surg Soc 2008;74: 448-451) KCI Citation Count: 7