Intestinal Perforation by a Foreign Body Retained due to Stenosis Caused by Cancer of the Colon.

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  • 大腸癌により停滞した異物による腸管穿孔の１例

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Abstract

An 88-year-old woman with dementia was seen at the hospital because of abdominal pain while she stayed at a healthy center for aged patients.<br> Chest X-ray film and an abdominal CT scan showed free air and a tumor of the ascending colon. Perforation of the intestine was diagnosed, and an emergency operation was performed.<br> During operation, we found a tumor of the ascending colon and a 5mm-sized perforation of the ileum in the oral side from the tumor. There was a stick like foreign body in the lumen of that intestine, We thought that this patient had misswallowed it because of her dementia. Resected specimen showed cancer of the ascending colon and perforation in the ileum. It was inferred that the foreign body stagnated by the cancer and had caused ileal perforation.<br> We should take care of occult malignant tumor and foreign body in the intestines on the aged patients with dementia.

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