Corpo estranho no ceco retirado por colonoscopia

Colonoscopic Removal of Foreign Body: A Case Report

“…However, endoscopic removal ensures more acceptable rates of morbidity and mortality [4,7], as well as the choice made by the team that led the patient in question. Colonoscopy, the technique used, is a therapy that has been constantly improved, in addition to being a safe, cheap and affordable option in most of the country [13] and should be considered as an initial method in the removal of foreign bodies [9] depending on their location in the gastrointestinal tract. In addition, ingested objects visualized on radiography are significantly more likely to be visualized in endoscopic techniques [1].…”

“…Although most foreign bodies spontaneously pass through the gastrointestinal tract [4,[6][7][8], some can cause perforations, also producing acute symptoms of peritonitis [15] and this condition is more prone in patients with a history of inflammatory bowel disease [9]. In cases of perforation, the literature indicates emergency surgical intervention [6], while endoscopic intervention as a treatative and curative measure [15], that is, palliative.…”

“…Thus, the presence of an ingested foreign body present in or after the cecum, as in the case described, is, according to the literature, rare. It is the narrowing's themselves that prevent the arrival of the ingested object -padlock -in the distal portion of the digestive tract [9].…”

“…This is a clinical picture that requires conservative outpatient management, in most cases, because patients are asymptomatic [6]. However, the ingestion of foreign bodies can cause acute obstructive, inflammatory or perforative abdomen [9], culminating in an interventional medical conduct.…”