A Case of Colorectal Bowel Obstruction Induced by Sigmoid Colon Cancer Associated with Impaction of a Japanese Apricot Seed Able to be Preoperatively Diagnosed

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  • 術前診断が可能であったウメの種子嵌頓による大腸癌腸閉塞の1例

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Abstract

An 81-year-old man was referred to our hospital with acute abdominal distension in November 2006. He reported the subjective symptom of constipation for a month. The abdominal X ray examination revealed dilatation of the small intestine and colon with niveau formation. Computed tomography revealed enhanced wall thickness with an irregular shape of the sigmoid colon and a foreign body in this lesion. A caliber change was recognized at this point, so we diagnosed colorectal bowel obstruction induced by the sigmoid colon cancer associated with impaction of a botanical seed. The patient underwent temporary transverse colostomy as a emergency operation. Postoperative colonoscopy from the transverse colostomy revealed sigmoid colon cancer and an impacted botanical seed. Radical sigmoid colectomy with lymph node dissection was performed at the 15th post primary operative day. The resected specimen revealed the sigmoid colon cancer with impaction of a Japanese apricot seed. The patient was discharged from our hospital without any complication 28 days after the primary operation. Only 11 cases of bowel obstruction induced by seeds was reported between 1983 and 2006 in the Japanese literature. We experience a rare case of bowel obstruction induced by seeds.

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