Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
消化管出血を契機に発見された十二指腸異物の1例
西尾 みどり西山 竜赤井 祐一大谷 豪久野木 直人中川 太一塩澤 克彦大西 雅彦廣井 喜一渡辺 俊一小川 眞広中島 典子田中 直英森山 光彦
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2010 年 77 巻 2 号 p. 92-93

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We experienced a rare case that foreign body discovered due to duodenal bleeding with duodenal ulcer, and we successed in picking it up by using gastrointestinal endoscopy. A healthy 50-year-old man had symptoms of tarry stool and feeling dizzy. He was suspected gastrointestinal tract bleeding. So he was introduced to our hospital immediately. On arrival, he was anemic (Hb 9.8g/dl) . We found a duodenal ulcer on second potion by gastrofiberscopy. At the same time, we found a foreign body with penetration through the duodenum at of the opposite wall of the ulcer. We picked up the foreign body by using a forceps. The foreign body was a 25mm long-shaped metallic needle. We treated by proton pomp inhibiter. There were no complications through his duration of hospitalized stays. He traced good passage and discharged after 6 days. By the way, we asked him detailed questions about his clinical history, especially about swallowing foreign bodies, he didn't remember those episodes. So the cause of foreign body ingestion was unidentified.
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© 2010 一般社団法人 日本消化器内視鏡学会 関東支部
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