Colonic Bleeding Caused by an Ingested Fishbone: Report of a Case

吞食魚刺引發之大腸出血：一病例報告

翁孟慈(Meng-Tzu Weng) ； 李宗熙(Tzong-Hsi Lee)

《臺灣消化醫學雜誌》 26卷3期 (2009/09) Pp. 33-36

https://doi.org/10.6557/GJT.200909_26(3).0006

摘要

異物誤食通常與小孩、酗酒者、精神異常或配戴假牙有關。我們報告一位二十九歲男性，過去因胃穿孔曾接受過胃次全切除手術，此次因連續三天解黑便及血便至急診求診。胃鏡報告並未顯示有明顯出血點，安排進一步大腸鏡檢查發現在降結腸有一根長達三公分的魚骨並伴隨周遭有血水，經腸鏡移除魚刺後，患者未再出現有黑便及血便情形，經門診追蹤一年也未再有消化道出血之症狀。下消化道出血有許多原因，由異物引發出血在精神狀況正常的年輕人卻極少見，可能與病人之前接受過腸胃道術式有關，針對此類病人詳細病史詢問以及細心檢查是很重要的。

關鍵字

魚骨 ； 結腸異物 ； 大腸出血

並列摘要

A 29 year-old man with a previous history of peptic ulcer, post subtotal gastrectomy and Billroth-Ⅱ anastomosis, suffered from tarry-bloody stool and was admitted to the Far-Eastern Memorial emergency room. Component therapy was administered. Esophagogastroduodenoscopy did not discover the cause of the bleeding. Colonoscopy identified a 3 cm long fishbone with some serosanguinous fluid and blood clot at the descending colon. The fishbone was grasped with a snare and removed. The post-operative course was uneventful without further bleeding. The patient was discharged 3 days later. During a one year follow-up, no further bleeding was noted.

並列關鍵字

fishbone ； foreign body in colon ； lower gastrointestinal bleeding