Operative Treatment with a Laparotomy for Anorectal Problems Arising from a Self-Inserted Foreign Body
유승범, 오흥권, 하헌균, 최은경, 문상희, 박규주,
소속 상세정보
유승범 ( Ryoo Seung-Bum )
Seoul National University College of Medicine Department of Surgery
오흥권 ( Oh Heung-Kwon )
Seoul National University College of Medicine Department of Surgery
하헌균 ( Ha Heon-Kyun )
Seoul National University College of Medicine Department of Surgery
최은경 ( Choe Eun-Kyung )
Seoul National University College of Medicine Department of Surgery
문상희 ( Moon Sang-Hui )
Seoul National University College of Medicine Department of Surgery
박규주 ( Park Kyu-Joo )
Seoul National University College of Medicine Department of Surgery
KMID : 0356720120280010056
Abstract
An anorectal foreign body can cause serious complications such as incontinence, rectal perforation, peritonitis, or pelvic abscess, so it should be managed immediately. We experienced two cases of operative treatment for a self-inserted anorectal foreign body. In one, the foreign body could not be removed as it was completely impacted in the anal canal. We failed to remove it through the anus. A laparotomy and removal of the foreign body was performed by using an incision on the rectum. Primary colsure and a sigmoid loop colostomy were done. A colostomy take-down was done after three months. The other was a rectal perforation from anal masturbation with a plastic device. We performed primary repair of the perforated rectosigmoid colon, and we didea sigmoid loop colostom. A colostomy take-down was done three months later. Immediate and proper treatment for a self-inserted anorectal foreign body is important to prevent severe complications, and we report successful surgical treatments for problems caused by anorectal foreign bodies.
키워드
Anal canal; Foreign bodies; Laparotomy
원문 및 링크아웃 정보
등재저널 정보