2021 Volume 41 Issue 4 Pages 293-296
An 81-year-old woman complaining of abdominal pain was referred to our hospital. Physical examination revealed tenderness in the lower abdomen. Abdominal CT showed extra-intestinal gas, suggestive of penetration to the mesentery side of the Rs rectum, but no free air in the abdominal cavity or ascites. In addition, a high-density spindle-shaped structure was found in the Ra rectum, and we diagnosed rectal penetration caused by a foreign body. Conservative treatment was selected, with antibiotic administration, because her general condition was stable and the inflammation was localized. The foreign body was excreted in the stool on the day after admission and turned out to be a jujube seed. The patient’s clinical course was favorable, and she was discharged on the 9th day of admission. In order to select the appropriate treatment plan in cases of intestinal perforation caused by a foreign body, it is very important to consider the general condition, abdominal symptoms, and CT findings of the patient.
