Colonic Fishbone-Induced Perforation Involving a Penile Colorectal Carcinoma: A Case Report.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY Case Reports in Gastroenterology Pub Date : 2024-09-23 eCollection Date: 2024-01-01 DOI:10.1159/000541081

Akira Imoto, Yuki Nagata, Yoshinori Shinohara, Hirota Miyazaki, Masanobu Fukumoto, Hidehiro Kitae, Masateru Asada, Masafumi Noda, Kaoru Okada, Akira Asai, Kazuhide Higuchi, Hiroki Nishikawa

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Abstract

Introduction: Fishbone (FB) ingestion is a rare cause of gastrointestinal perforation. Herein, we report a case of FB-induced colonic perforation, in which the presence of a penile colonic carcinoma may have contributed to the development of the perforation.

Case presentation: An 83-year-old man was admitted to our hospital with severe abdominal pain during bowel movement. Computed tomography (CT) yielded a diagnosis of sigmoid colonic perforation due to FB and secondary peritonitis. Preoperative endoscopic examination suggested that the perforation was associated with a stalked colon tumor in the vicinity. After undergoing low anterior resection and sigmoid colostomy, the patient is currently doing well.

Conclusion: The incidence of FB-induced colorectal-cancer-related perforation is expected to increase in the future owing to an aging society, the increase in the rates of colorectal cancer, and increase in fish consumption. This rare case suggests that preoperative examinations are important and that even relatively small polyps can contribute to gastrointestinal perforation caused by FBs. Older individuals should exercise caution during fish ingestion.

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涉及阴茎结直肠癌的结肠鱼刺诱发穿孔：病例报告。

简介：鱼刺（FB）摄入是导致胃肠道穿孔的罕见原因。在此，我们报告了一例由鱼刺引起的结肠穿孔病例，其中阴茎结肠癌的存在可能是导致穿孔发生的原因之一：一名 83 岁的男性因排便时剧烈腹痛被送入我院。计算机断层扫描（CT）诊断为 FB 引起的乙状结肠穿孔和继发性腹膜炎。术前内镜检查显示，穿孔与附近的梗阻性结肠肿瘤有关。在接受低位前切除术和乙状结肠造口术后，患者目前情况良好：结论：由于老龄化社会的到来、结直肠癌发病率的上升以及鱼类消费量的增加，FB 引起的结直肠癌相关穿孔的发病率预计在未来会增加。这一罕见病例表明，术前检查非常重要，即使是相对较小的息肉也可能导致 FB 引起的胃肠道穿孔。老年人在进食鱼类时应谨慎。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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