GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
A CASE OF A PERSISTENT RECTAL BAROLITH TREATED CONSERVATIVELY WITH AN ENDOSCOPIC PROCEDURE
Kumiko YAMAMOTO Shigenao ISHIKAWATomoki INABATomo KAGAWAIchiro SAKAKIHARAKoichi IZUMIKAWASakuma TAKAHASHIShigetomi TANAKAMasaki WATOMasaya IWAMURO
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2022 Volume 64 Issue 10 Pages 2275-2281

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Abstract

A 64-year-old man, in good health his entire life, was admitted to our hospital with anorexia. Until three years ago, he had undergone an upper gastrointestinal series on an annual basis. An abdominal CT scan showed a calcified lesion in the rectum measuring 7 cm, and no evidence of free air. There were no abdominal symptoms indicating intestinal obstruction or perforation. The patient was hospitalized for endoscopic treatment and the barolith was removed after crushing it with a polypectomy snare. The diagnosis was confirmed after examination of the removed samples using infrared spectroscopy and scanning electron microscopy. Baroliths are prone to causing intestinal obstruction and perforation of the digestive tract, leading to severe complications. We report a case of barolith treated endoscopically.

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© 2022 Japan Gastroenterological Endoscopy Society
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