2020 Volume 62 Issue 2 Pages 158-164
An 83-year-old woman was transported by ambulance to our hospital due to bloody stools. Upper and lower gastrointestinal endoscopic examinations did not reveal an obvious source of bleeding.
By capsule endoscopy, a press-through package (PTP) was found lodged in the small intestine, and a linear ulcer was found nearby. Oral double balloon endoscopy revealed an ulcer at the site of lodging of the PTP, and stenosis was observed on the anal side. The PTP was stuck in the wall of the small intestine and it was difficult to remove it endoscopically. Laparoscopic-assisted partial intestinal resection was performed, and two pieces of PTP sheet, each with an area of about 15 mm2, were picked out from the resected specimen. Capsule endoscopy may be useful for diagnosis of accidental ingestion of PTP.
