ISSN: 2373-6372GHOA

Gastroenterology & Hepatology: Open Access
Opinion
Volume 5 Issue 3 - 2016
At The Focal Point-Impacted Foreign Body in Sigmoid Colon Diverticula
Valle Arturo, Navarrete Claudio and Sáenz Roque*
German School of Clinical Medicine, University Development, Chile
Received: August 27, 2016| Published: September 13, 2016
*Corresponding author: Sáenz Roque, The Latin American GIE Training Center, German School of Clinical Medicine, University Development, Santiago, Chile, Email:
Citation: Arturo V, Claudio N, Roque S (2016) At The Focal Point-Impacted Foreign Body in Sigmoid Colon Diverticula. Gastroenterol Hepatol Open Access 5(3): 00140. DOI: 10.15406/ghoa.2016.05.00140

Opinion

An 80 years old lady, was scheduled for follow up colonoscopy, due to previous advanced polyps removaland relative sigmoid colon stenosis secondary to severe diverticular disease. She was asymptomatic, without any pain or fever [1,2].

At colonoscopy, an impacted foreign body (Toothpick) was found, impacted in two sigmoid colon (“face to face”) diverticulum, one at each end. There was purulent secretion from one of those ends. It was not easy to remove, and mobilization resulted in more purulent exudate. The perforation hazard was considered. It couldn’t be cut in its central portion and finally with easy movements with a grasping forceps, it was dislodged from one of its edges, and removed with a snare. The risky meal, assumed to be responsible for the ingestion of the foreign body, was 6 days prior to the colonoscopy [3-10].

An abdominal ultrasound failed to show any collection. Patient had no further symptoms, while 7 follow up days, under antibiotic treatment [11] (Figure 1).

Figure 1: Sigmoid colon diverticulum. Impacted foreign body and purulent secretion at the edges.

References

  1. Schwartz GF, Polsky HS (1976) Ingested foreign bodies of the gastrointestinal tract. Am Surg 42(4): 236-238.
  2. Eldridge WW (1961) Foreign bodies in the gastrointestinal tract. JAMA 178: 665-667.
  3. Fidler M (1972) Foreign-body perforation of a jejunal diverticulum. Br J Surg 59(9): 744-745.
  4. Ashby BS, Hunter-Craig ID (1967) Foreign-body perforations of the gut. Br J Surg 54(5): 382-384.
  5. Stack LB, Munter DW (1996) Foreign bodies in the gastrointestinal tract. Emerg Med Clin North Am 14(3): 493-521.
  6. Selivanov V, Sheldon GF, Cello JP, Crass RA (1984) Management of foreign body ingestion. Ann Surg 199(2): 187-191.
  7. Wilcher GW (2010) Toothpick perforation of a colon diverticulum: an adjunct autopsy finding. Med Sci Law 50(3): 156-158.
  8. Chung YS, Chung YW, Moon SY, Yoon SM, Kim MJ, et al. (2008) Toothpick impaction with sigmoid colon pseudodiverticulum formation successfully treated with colonoscopy. World J Gastroenterol 14(6): 948-950.
  9. Grabysa R, Łowczak R, Kubiak M, Kowalczyk M, Zaborowski P (2010) Toothpick impaction in the sigmoid colon as a cause of chronic abdominal pain. Endoscopy 42(Suppl 2): E203.
  10. Mohr HH, Dierkes-Globisch A (2001) Endoscopic removal of a perforating toothpick. Endoscopy 33(3): 295.
  11. Reddy SK, Griffith GS, Goldstein JA, Stollman NH (1999) Toothpick impaction with localized sigmoid perforation: successful colonoscopic management. Gastrointest Endosc. 50(5): 708-709.
© 2014-2016 MedCrave Group, All rights reserved. No part of this content may be reproduced or transmitted in any form or by any means as per the standard guidelines of fair use.
Creative Commons License Open Access by MedCrave Group is licensed under a Creative Commons Attribution 4.0 International License.
Based on a work at http://medcraveonline.com
Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version | Opera |Privacy Policy