Colo-Ostium Fistula Caused by Colonic Foreign Body
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Clinics in Surgery 1 Remedy Publications LLC., | http://clinicsinsurgery.com/ 2021 | Volume 6 | Article 3216 Colo-Ostium Fistula Caused by Colonic Foreign Body Clinical Image Published: 17 Jun, 2021 Clinical Image A 64-year-old man was referred to the surgical department with 2-week history of leſt lower quadrant pain, difficulty sitting up and an abdominal X-ray showing intra-abdominal foreign body. Of note 3 months prior he inadvertently inserted a rubber coated iron rod in the rectum while scratching pruritus ani but never passed it. ere were no other gastrointestinal symptoms. On abdominal exam, there was a laparotomy scar, no distension and the abdomen was soſt, no tender with no palpable mass. Blood tests were normal. We did an abdominal CT that showed an iron rod in the recto-sigmoid, extending to the left pubic bone. During Laparotomy there were extensive adhesions from previous surgery but no peritoneal contamination or abscess, which were due to the previous abdominal operation. Adhesiolysis was performed to mobilize the sigmoid colon, revealing a rod in the recto-sigmoid junction, pushing the colon against the left pubic bone and forming a colo-ostium fistula (Figure 1). Colotomy was done to extract the rod and the fistula tract was excised. The patient recovered well post operation. Zhifen Chen 1 * and Moneimang Makgasa 2 1 Department of Colorectal Surgery, Fujian Medical University Union Hospital, China 2 Department of General Surgery, Sidilega Private Hospital, Botswana OPEN ACCESS *Correspondence: Zhifen Chen, Department of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China, E-mail: [email protected] Received Date: 01 Jun 2021 Accepted Date: 15 Jun 2021 Published Date: 17 Jun 2021 Citation: Chen Z, Makgasa M. Colo-Ostium Fistula Caused by Colonic Foreign Body. Clin Surg. 2021; 6: 3216. Copyright © 2021 Zhifen Chen. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Figure 1: Colo-ostium fistula caused by colonic foreign body.
Transcript of Colo-Ostium Fistula Caused by Colonic Foreign Body
Clinics in Surgery
1Remedy Publications LLC., | http://clinicsinsurgery.com/ 2021 | Volume 6 | Article 3216
Colo-Ostium Fistula Caused by Colonic Foreign Body
Clinical ImagePublished: 17 Jun, 2021
Clinical ImageA 64-year-old man was referred to the surgical department with 2-week history of left lower
quadrant pain, difficulty sitting up and an abdominal X-ray showing intra-abdominal foreign body. Of note 3 months prior he inadvertently inserted a rubber coated iron rod in the rectum while scratching pruritus ani but never passed it. There were no other gastrointestinal symptoms. On abdominal exam, there was a laparotomy scar, no distension and the abdomen was soft, no tender with no palpable mass. Blood tests were normal. We did an abdominal CT that showed an iron rod in the recto-sigmoid, extending to the left pubic bone. During Laparotomy there were extensive adhesions from previous surgery but no peritoneal contamination or abscess, which were due to the previous abdominal operation. Adhesiolysis was performed to mobilize the sigmoid colon, revealing a rod in the recto-sigmoid junction, pushing the colon against the left pubic bone and forming a colo-ostium fistula (Figure 1). Colotomy was done to extract the rod and the fistula tract was excised. The patient recovered well post operation.
Zhifen Chen1* and Moneimang Makgasa2
1Department of Colorectal Surgery, Fujian Medical University Union Hospital, China
2Department of General Surgery, Sidilega Private Hospital, Botswana
OPEN ACCESS
*Correspondence:Zhifen Chen, Department of Colorectal
Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China,
E-mail: [email protected] Date: 01 Jun 2021Accepted Date: 15 Jun 2021Published Date: 17 Jun 2021
Citation: Chen Z, Makgasa M. Colo-Ostium Fistula Caused by Colonic Foreign
Body. Clin Surg. 2021; 6: 3216.
Copyright © 2021 Zhifen Chen. This is an open access article distributed
under the Creative Commons Attribution License, which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly cited.
Figure 1: Colo-ostium fistula caused by colonic foreign body.
