2007 Volume 27 Issue 4 Pages 659-662
A 78-year-old female visited the emergency clinic of our hospital due to persistent left lower abdominal pain and slight fever. Since abdominal CT revealed findings suggestive of inflammation extending from the sigmoid colon to the area around the superior portion of the rectum, the patient was admitted for observation. Colonoscopy after admission showed a sheet-like foreign body in the aforementioned area, and abdominal CT on the following day showed ascites and intraperitoneal free air around the siqmoid colon. Colonic peraoration due to the foreign body was suspected, and emergency operation was performed. There was much Eiterbelag and localized turbid ascites around the superior portion of the rectum. In addition, a small perforation with leakage of feces was observed in the right wall of the sigmoid colon. A Hartmann operation was performed. The resected specimen showed injury of the intestinal mucosa caused by the sharp angle of a press=through package (PTP) and ulcer formation. In recent years, reports of PTP ingestion have been increasing, but few cases of colon is perforation caused by it have been veported. Since patients are often unaware of having ingested a PTP and preoperative diagnosis is difficult, the possibility of PTP ingestion as a cause of perforation and peritonitis should be considered in the elderly.
