愛滋病患的直腸異物

Rectal Foreign Body in an AIDS Patient

陳行鑫(Hsing-Hsin Chen) ； 葉俊廷(Jun-Ting Yeh) ； 胡煒明(Wei-Ming Hu)

《北市醫學雜誌》 1卷1期 (2004/01) Pp. 88-92

https://doi.org/10.6200/TCMJ.2004.1.1.14

摘要

背景：直腸異物雖不多見，但在嘗試取出時卻是急診或外科醫師不小的挑戰。各式各樣的直腸異物曾在世界各國文獻中被報導。絕大部分的異物能被取出而沒有併發症，但少部分卻有可能穿破直腸或結腸造成各式各樣的併發症。案例報告：本院急診於九十二年五月收治一位39歲男性病患，主訴3天前將一頭髮定型液的罐子塞入肛門至直腸，在取出時蓋子滑脫在直腸，在急診室使用手指及內視鏡等方法失敗後，轉送至開刀房在全身麻醉下由肛門取出，雖然病人否認有過去病史，但後來被驗出為愛滋病帶原。我們報告此案例是希然提醒醫師在處理肛門性癖好病患時多加留意，並對直腸異物及取出的方法作一回顧。在此也建議，直腸異物病患之常規檢查應包括性病及愛滋病篩檢。

關鍵字

直腸 ； 異物 ； 肛門性癖好 ； 性病 ； 愛滋病

並列摘要

Managing rectal foreign bodies remains a challenge for surgeon. Various rectal foreign bodies have been reported; most of them could be removed successfully without complication, some of them might become a disaster if rectal or bowel perforation occurred. A case of a 39 years old man who was an AIDS carrier was reported here. He put a mousse bottle into his rectum and was removed 3 days ago, but the cap of the bottle was still remained in his body. The surgery was arranged to remove the cap after the failure of digital manipulation and endoscopic means. The purpose of this case report aimed to remind the doctor of management for patients with anal eroticism and the methods for removal of rectal foreign body from the literature review. A routine check-up for AIDS and sexual transmitted disease (STD) on the case of rectal foreign body was also suggested.

並列關鍵字

foreign body ； AIDS ； rectum ； anal eroticism ； STD