結腸鏡嵌頓在腹股溝疝氣：病例報告

Incarceration of a Colonscope in a Sliding Inguinal Herania: A Case Report

吳建廷(Chien-Ting Wu) ； 莊捷翰(Chieh-Han Chuang)

《南臺灣醫學雜誌》 17卷1期 (2021/06) Pp. 54-57

https://doi.org/10.6726/MJST.202106_17(1).0007

摘要

大腸鏡是一種安全有效的去檢查大腸和直腸的黏膜，不僅可以診斷，也可以移除息肉，大部分的內視鏡可以在門診實行，只有些許的不方便和不舒服。大腸鏡檢查最常見之併發症為大腸出血及穿孔。大腸竟嵌頓在腹股溝疝氣是非常罕見，且具潛在致命危險之大腸鏡術併發症。我們報告一位70歲男性病患，原有雙側腹股溝疝氣但只做右側疝氣修補，左側並無修補，此次因大腸鏡落入疝氣囊及腸道而需靠手術才將大腸鏡順利從肛門抽回。在大腸鏡檢查之前應該有更完整的病史詢問及理學檢查，其他併發症雖然罕見，仍需謹記在心方能及時診斷並加以治療。

關鍵字

大腸鏡 ； 嵌閉性疝氣

並列摘要

Colonoscopy is a safe and effective way to check the mucosa of the large intestine and rectum. It can not only diagnose but also remove polyps. Most of the colonscopy can be performed in outpatient clinics with only a little inconvenience and discomfort. The most common complications of colonoscopy are colon bleeding and perforation. Incarceration of the colonscopy in a sliding inguinal hernia is very rare and a potentially fatal complication of colonoscopy. We report a 70-year-old male patient who had an bilateral inguinal hernia but only repaired hernia on the right side and no repair on the left side. This time, the colonoscope incacreated into the hernia sac and the colon and required surgery to successfully remove the colonoscope from the anus. There should be taken complete medical history and physical examination before colonoscopy. Although other complications are rare, it is still necessary to keep in mind to diagnose and treat in time.

並列關鍵字

colonoscopy ； incarceration hernia