경도의 우울증이 있는 중년 남자에서 날카로운 돼지 척추뼈에 의한 직장천공
Rectal perforation caused by a sharp pig backbone in a middle-aged patient with mild depression
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In Korea, cases of direct insertion of foreign bodies into the rectum are rare in the literature. Most cases of rectal insertion of foreign bodies are associated with sexual acts and psychiatric disorder such as schizophrenia. Objects inserted into the anus are usually blunt and shaped like the male genitalia. The removal method can be varied depending on the size and shape of the foreign object, its anatomical location, and the accompanying complications. In cases wherein attempts to remove the object fail or there are rectal perforation and peritonitis complications, immediate laparotomy may be required in order to prevent serious complications such as sepsis. Here, we report on a case of rectal perforation and peritonitis due to insertion of a foreign body in a middle-aged patient, with a literature review. He inserted a sharp pig backbone in his rectum and he only had depression. The patient underwent a Hartmann’s operation as well as psychiatric counseling and treatment. Thus, after removal of foreign bodies, psychiatric counseling and treatment should be carried out in order to prevent similar accidents and to minimize the need for trauma medicine.
Abstract
In Korea, cases of direct insertion of foreign bodies into the rectum are rare in the literature. Most cases of rectal insertion of foreign bodies are associated with sexual acts and psychiatric disorder such as schizophrenia. Objects inserted into the anus are usually blunt and shaped like the male genitalia. The removal method can be varied depending on the size and shape of the foreign object, its anatomical location, and the accompanying complications. In cases wherein attempts to remove the object fail or there are rectal perforation and peritonitis complications, immediate laparotomy may be required in order to prevent serious complications such as sepsis. Here, we report on a case of rectal perforation and peritonitis due to insertion of a foreign body in a middle-aged patient, with a literature review. He inserted a sharp pig backbone in his rectum and he only had depression. The patient underwent a Hartmann’s operation as well as psychiatric counseling and treatment. Thus, after removal of foreign bodies, psychiatric counseling and treatment should be carried out in order to prevent similar accidents and to minimize the need for trauma medicine.
참고문헌 (11)
- 최평화, "개복술로 제거한 직장이물질(유리잔)", 대한외과학회지, 74(6), pp.448~451 (2008), 대한외과학회
- 유승범, "Operative Treatment with a Laparotomy for Anorectal Problems Arising from a Self-Inserted Foreign Body", Annals of Coloproctolgy, 28(1), pp.56~60 (2012), 대한대장항문학회
- Rodríguez-Hermosa JI, "Management of foreign bodies in the rectum", Colorectal Dis, 9, pp.543~548 (2007)
- 이정화, "직장 천공을 일으킨 연한 직장 이물질 1예", Clinical Endoscopy, 43(1), pp.52~55 (2011), 대한소화기내시경학회
- 정은주, "Impaction of a Foreign Body in the Rectum by Improper Use of a (Electronic) Massager: A Case Report", Annals of Coloproctolgy, 26(4), pp.298~301 (2010), 대한대장항문학회
- Goldberg JE, "Rectal foreign bodies", Surg Clin North Am, 90, pp.173~184 (2010)
- Yacobi Y, "Emergent and surgical interventions for injuries associated with eroticism: a review", J Trauma, 62, pp.1522~1530 (2007)
- Clarke DL, "Colorectal foreign bodies", Colorectal Dis, 7, pp.98~103 (2005)
- Unruh BT, "Insertion of foreign bodies (polyembolokoilamania): underpinnings and management strategies", Prim Care Companion CNS Disord, 14(1) (2012)
- Forde JC, "An unusual penpal: case report and literature review of posterior urethral injuries secondary to foreign body insertion", Can J Urol, 16, pp.4757~4759 (2009)
- Zafrullah M, "Unusual foreign body in the male urinary bladder and urethra", Br J Clin Pract, 23, pp.123~124 (1969)