保存的治療で改善した横行結腸魚骨穿通の1例 [in Japanese] A Case of Penetration of the Transverse Colon by a Fish Bone Recovered with Conservative Therapy [in Japanese]
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A 72-year-old woman presented with a left-sided abdominal mass and left abdominal pain as chief complaints. A non-mobile, tender, chicken egg-sized, elastic mass was palpable in the left flank region. Based on findings of abdominal CT and ultrasound, the patient was diagnosed as having an abdominal abscess secondary to penetration of the transverse colon caused by a fish bone. The abdominal pain was localized to the left flank region, and the vital signs were stable. Moreover, no relevant past medical history was confirmed, and cardiac, pulmonary, hepatic, and renal function were normal. Subsequently, the patient was treated conservatively (with fasting and antibiotic administration). When inflammatory findings improved on day 13 of the illness, the patient resumed eating and recovered without any notable problems. She was discharged on day 30 of the illness, by which time the abdominal tumor had disappeared. At present (four months after discharge), the patient has no abdominal symptoms and is doing well. The literature contains no cases in which conservative therapy has been successfully used to treat bowel perforation induced by a fish bone, and we therefore present this valuable case.
- The Japanese journal of proctology
The Japanese journal of proctology 59(3), 135-138, 2006-03-01
The Japan Society of Coloproctology