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A CASE OF SMALL INTESTINAL PERFORATIVE PERITONITIS CAUSED BY A STICK TEA SO-CALLED ‘BOCHA’ IN JAPANESE

2000; Japan Surgical Association; Volume: 61; Issue: 1 Linguagem: Inglês

10.3919/jjsa.61.209

1882-5133

Chihiro Tanaka, Naoki Yokoo, Tatsushi Kato, Takami Fukui, Hisaya Azuma, Tetsuya Yamaguchi,

Hemostasis and retained surgical items

This paper presents a case of perforative peritonitis of the small intestine caused by a stick tea, so-called ‘bocha’ in Japanese, under the presence of postoperative adhesion. A 77-year-old man was admitted t the hospital because of sudden onset of abdominal pain. There was a past history of undergoing a low anterior resection for a rectal cancer 2 and a half years before admission. Abdominal CT scan showed free air spaces and a lot of ascites. Under a diagnosis of gastrointestinal perforative peritonitis, an emergency operation was performed. Upon laparotomy, a part of the ileum was led into the true pelvic cavity and tightly adhered. The mesentery was necrotic at the folded region and a stick like foreign body projected through the ileal wall, where a spot perforation was found. An ileal resectin by 15cm with necrotic mesentery was performed. The foreign body was proven to be a stick tea, so-called Bocha in Japanese, about 5cm long. Such foreign body can pass through the intestine under normal condition, but it was caught at the wound and stenosed portion of the intestine due to postoperative adhesion, the perforation.