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Case Reports
Toothpick Colon Injury Mimicking Colonic Diverticulitis
Min Hyeong Jo, Hwan Namgung
Ann Coloproctol. 2018;34(3):157-159.   Published online June 30, 2018
DOI: https://doi.org/10.3393/ac.2018.04.23
  • 5,232 View
  • 76 Download
  • 4 Web of Science
  • 4 Citations
AbstractAbstract PDF
Although toothpick ingestion is rare, it can lead to fatal complications in the gastrointestinal tract. Diagnosing toothpick ingestion is difficult because most patients do not recall swallowing one. We report 2 cases of toothpick-ingestion-induced colon injury, mimicking diverticulitis. The first patient was a 47-year-old male who had received conservative treatment under the impression of his having diverticulitis in the cecum. Ultrasonography revealed a linear foreign body in the right lower abdomen; a subsequent laparoscopic examination revealed inflammation around the cecum, but no evidence of bowel perforation. A thorough investigation revealed a toothpick embedded in the subcutaneous fat and muscle layer of the lower abdominal wall; we removed it. The second patient was a 56-year-old male who had received conservative treatment under the impression of his having diverticulitis in the sigmoid colon. An explorative laparotomy revealed a toothpick piercing the sigmoid colon; we performed an anterior resection. Both patients were discharged without postoperative complications.

Citations

Citations to this article as recorded by  
  • Anterior abdominal wall abscess due to toothpick ingestion: A case report
    Doğuş Can Ekdal, Ahmet Akmercan, Tevfik Kıvılcım Uprak
    Surgery Case Reports.2025; 4: 100088.     CrossRef
  • Perforation of the Terminal Ileum Secondary to Mucosal Damage of Enteroaggregative Escherichia coli and a Toothpick
    Nora A Rady, James Parrish
    Cureus.2024;[Epub]     CrossRef
  • Accidentally ingested wooden toothpick, perforation of a sigmoid diverticulum and mimicking acute colonic diverticulitis: A case report and literature review
    Giuseppe Evola, Giulia Impellizzeri, Elia Pulvirenti, Maria D'Angelo, Martina Reina, Giuseppe Angelo Reina
    International Journal of Surgery Case Reports.2023; 104: 107945.     CrossRef
  • Toothpick perforates small bowel-mimicking diverticulitis
    Ahmed A Fallatah, Hassan Mashbari, Hatoon Daghestani, Omar Mostafa, Nawaf Alshahwan, Ahmed Alburakan, Thamer Nouh
    Journal of Surgical Case Reports.2023;[Epub]     CrossRef
Urinary Bladder Injury During Colonoscopy Without Colon Perforation
Jung Wook Suh, Jun Won Min, Hwan Namgung, Dong-Guk Park
Ann Coloproctol. 2017;33(3):112-114.   Published online June 30, 2017
DOI: https://doi.org/10.3393/ac.2017.33.3.112
  • 6,918 View
  • 64 Download
  • 3 Web of Science
  • 3 Citations
AbstractAbstract PDF

We report a case of urinary bladder perforation during colonoscopy. A 67-year-old female, who had undergone a transabdominal hysterectomy for uterine myomas 15 years ago, visited the emergency department with complaint of abdominal pain after a screening colonoscopy. Laparoscopic examination revealed severe adhesion between the sigmoid colon and the urinary bladder. The urinary bladder wall was weakened, and several perforation sites were found. The surgery was converted to a laparotomy. After a thorough examination, we performed primary repair for the perforation sites, followed by an omentopexy.

Citations

Citations to this article as recorded by  
  • Trauma to the solid abdominal organs: The missed dark box of colonoscopy
    Mohamed H Emara, Usama Mazid, Yasmine A Elshaer, Mahmoud A Elkerdawy, Dilaver Farooq Malik, Aya M Mahros
    World Journal of Gastroenterology.2024; 30(7): 624.     CrossRef
  • Mesenteric laceration of the sigmoid colon after colonoscopy: A rare complication
    Min Wu, Yonghua Lin, Zhichao Chen, Jianfeng Wei
    Asian Journal of Surgery.2023; 46(11): 5391.     CrossRef
  • Massive retroperitoneal hematoma following colonoscopy
    Reo Ohtsuka, Hodaka Amano, Kei Niida, Takeaki Yoshino, Michiyo Owari, Ryotaro Takano, Yuichi Akama, Yohei Watanabe, Toshiyasu Iwao
    Medicine.2018; 97(31): e11723.     CrossRef
Colonic Metastasis Presenting as an Intraluminal Fungating Mass 8 Years After Surgery for Ovarian Cancer
Jeong Rye Kim, Bong Man Kim, You Me Kim, Won Ae Lee, Hwan Namgung
Ann Coloproctol. 2015;31(5):198-201.   Published online October 31, 2015
DOI: https://doi.org/10.3393/ac.2015.31.5.198
  • 5,972 View
  • 44 Download
  • 4 Web of Science
  • 6 Citations
AbstractAbstract PDF

We report a case of colonic metastasis from ovarian cancer presented as an intraluminal fungating mass mimicking primary colon cancer 8 years after surgery for ovarian cancer. A 70-year-old woman presented with constipation. She had undergone an extended total abdominal hysterectomy with bilateral salpingo-oophorectomy for an ovarian papillary serous cystadenocarcinoma 8 years earlier. Colonoscopy showed a large fungating mass 10 cm from the anal verge that was suspected to be colorectal cancer. A computed tomography scan showed a bulky intraluminal fungating mass in the rectosigmoid junction. After a lower anterior resection and a pathologic diagnosis, a diagnosis of a papillary serous adenocarcinoma due to metastasis from an ovarian tumor was made for this patient.

Citations

Citations to this article as recorded by  
  • A Case Report of Bilateral Endometrioid-Type Ovarian Carcinoma with Synchronous Dual Metastasis to the Colon
    W. T. N. Widanage, K. S. Nathawitharanalage, N. A. Kodithuwakku, A. A. S. Samarathunga, H. M. S. P. Rajaguru, K. P. Dissanayake, L. R. A. Wijesooriya, J. A. S. B. Jayasundara
    SN Comprehensive Clinical Medicine.2024;[Epub]     CrossRef
  • Synchronous Tumors in the Cecum and Ovary: Differentiating a Primary Colonic Tumor from Metastasis
    Raksha Ramesh, Shalini Shree Krishnamurthy, Jayashree Natarajan, Ramakrishnan Ayloor Seshadri
    Indian Journal of Colo-Rectal Surgery.2024; 7(3): 54.     CrossRef
  • Metastasis of Ovarian Cancer to the Descending Colon
    Kentaro Abe, Hiroyuki Anzai, Satoko Eguchi, Masako Ikemura, Aya Shinozaki-Ushiku, Takahide Shinagawa, Hirofumi Sonoda, Yuichiro Yoshioka, Yuzo Nagai, Shinya Abe, Hiroyuki Matsuzaki, Yuichiro Yokoyama, Shigenobu Emoto, Koji Murono, Kazuhito Sasaki, Hiroaki
    Case Reports in Gastroenterology.2023; 17(1): 136.     CrossRef
  • Clinicopathologic Features of Gynecologic Malignancies Presenting Clinically as Colonic Malignancies
    Lanisha D Fuller, Andrew Dunn, Aaron R Huber, Monika Vyas, Raul S Gonzalez
    American Journal of Clinical Pathology.2022; 157(1): 82.     CrossRef
  • Rectorrhagia revealing colonic metastasis from an ovarian primary, an exceptional case report
    Rachid Jabi, Siham Elmir, Soumia El Arabi, Achraf Merry, Mohammed Bouziane
    International Journal of Surgery Case Reports.2021; 88: 106490.     CrossRef
  • Metastatic colon cancer of an ovarian cancer origin mimicking primary colon cancer: A case report
    Ji-Hyeon Park, Dong Hae Jung, Jeong-Heum Baek
    Korean Journal of Clinical Oncology.2018; 14(1): 53.     CrossRef
Peritoneal Metastatic Goblet-Cell Carcinoid Tumor Treated With Cytoreductive Surgery and Intraperitoneal Chemotherapy
Sang Il Youn, Hwan Namgung, Jeong Seok Yun, Yun Jun Park, Dong-Guk Park
Ann Coloproctol. 2015;31(2):74-78.   Published online April 30, 2015
DOI: https://doi.org/10.3393/ac.2015.31.2.74
  • 4,642 View
  • 44 Download
  • 6 Web of Science
  • 5 Citations
AbstractAbstract PDF

We report a case of a goblet-cell carcinoid tumor of the appendix which metastasized to the peritoneum and was treated by using cytoreductive surgery (CRS) with intraperitoneal chemotherapy. A 47-year-old male presented with chronic constipation and was diagnosed as having a rectal adenocarcinoma with a signet-ring-cell component under colonoscopy. Computed tomography suggested peritoneal metastases with diffuse nodular parietal peritoneal thickening of the entire abdomen and focal invasion of the upper rectum by a seeding mass. CRS with intraperitoneal chemotherapy was done under the diagnosis of a rectal adenocarcinoma with peritoneal metastases. The pathologic diagnosis was a goblet-cell carcinoid tumor of the appendix with peritoneal metastasis. The histological discrepancy between a peritoneal metastatic mass and a rectal mass was due to the mixed histological pattern of a goblet-cell carcinoid tumor. A metastatic mass may not share identical immunohistochemical characteristics from its origin. This histologic discrepancy necessitates caution in diagnosing a distant metastasis of a goblet-cell carcinoid tumor.

Citations

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  • Peritoneal metastatic mixed adenoneuroendocrine carcinoma treated with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: a case report
    Sungchul Lee, Euitae Kim, Dong-Guk Park
    Annals of Coloproctology.2024; 40(Suppl 1): S18.     CrossRef
  • Extra-Appendiceal Neuroendocrine Expressing Goblet Cell Adenocarcinoma of the Cecum—A Case Report and Brief Review of the Literature
    Alexandra Dinu, Mariana Aşchie, Gabriela Isabela Bălţătescu, Manuela Enciu, Ionuţ Burlacu
    Reports.2024; 8(1): 1.     CrossRef
  • Goblet cell adenocarcinoma of the ascending colon: An underrecognized diagnostic pitfall
    Faten Limaiem, Sahir Omrani, Mohamed Hajri
    Clinical Case Reports.2023;[Epub]     CrossRef
  • Mixed Neuroendocrine Non-neuroendocrine Neoplasm of Anorectum with Goblet Cell Morphology
    Sandhya Biswal, Anirban Kundu, Ankit Sahoo, Prakash Kumar Sasmal, Biswajit Sahoo, Suvradeep Mitra
    Journal of Gastrointestinal Cancer.2021; 52(3): 1093.     CrossRef
  • Goblet cell carcinoids of the appendix: Tumor biology, mutations and management strategies
    Santosh Shenoy
    World Journal of Gastrointestinal Surgery.2016; 8(10): 660.     CrossRef
Original Article
Clinical Trial on the Incidence of Wound Infection and Patient Satisfaction After Stoma Closure: Comparison of Two Skin Closure Techniques
Sang Il Yoon, Sun Mi Bae, Hwan Namgung, Dong Guk Park
Ann Coloproctol. 2015;31(1):29-33.   Published online February 28, 2015
DOI: https://doi.org/10.3393/ac.2015.31.1.29
  • 6,009 View
  • 71 Download
  • 18 Web of Science
  • 18 Citations
AbstractAbstract PDF
Purpose

Surgical site infection (SSI) is one of the most common complications that can occur after stoma closure. Reports have described differences in the incidence of wound infection depending on the skin closure technique, but there is no consensus on the ideal closure technique for a stoma wound. The aim of this study was to compare the incidence of SSI and the patient satisfaction between a circumferential purse-string approximation (CPA) and a primary linear closure (PC) of a stoma wound.

Methods

This prospective nonrandomized trial enrolled 48 patients who underwent a stoma closure from February 2010 to October 2013. Patients were divided into two groups according to the stoma closing technique: the CPA group (n = 34) and the PC group (n = 14). The incidences of SSI for the two groups were compared, and the patients' satisfaction with the stoma closure was determined by using a questionnaire.

Results

SSI occurred in 3 of 48 patients (6.3%) and was more frequent in the PC group than in the CPA group (3/14 [21.4%] vs. 0/34 [0%], P = 0.021). Time to complete healing after stoma closure in the CPA group was 32 days (range, 14-61 days). Patients in the CPA group were more satisfied with the resulting wound scar (P = 0.043).

Conclusion

After stoma closure, CPA was associated with a significantly lower incidence of wound infection and greater patient satisfaction compared to PC. However, with the CPA technique, the time to heal is longer than it is with PC.

Citations

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  • First Experience with the NPseal®: A Novel Mechanically Powered Negative Pressure Dressing Applied to Colorectal Surgery Wounds
    Johnny Wang, Brian Williams, Jordan R. Wlodarczyk, Abhinav Gupta, Debora Kim, Kyle G. Cologne, Sarah E. Koller, Christine Hsieh, Marjun P. Duldulao, Joongho Shin
    Surgical Innovation.2025; 32(2): 127.     CrossRef
  • Mechanically powered negative pressure dressing reduces surgical site infection after stoma reversal
    Brian Williams, Aubrey Swinford, Jordan Martucci, Johnny Wang, Jordan R. Wlodarczyk, Abhinav Gupta, Kyle G. Cologne, Sarah E. Koller, Christine Hsieh, Marjun P. Duldulao, Joongho Shin
    Surgery Open Science.2025; 23: 69.     CrossRef
  • Comparison of Negative Pressure Wound Therapy Systems and Conventional Non-Pressure Dressings on Surgical Site Infection Rate After Stoma Reversal: Systematic Review and Meta-Analysis of Randomized Controlled Trials
    Elissavet Anestiadou, Stavros Stamiris, Orestis Ioannidis, Savvas Symeonidis, Stefanos Bitsianis, Konstantinos Bougioukas, Thomas Karagiannis, Efstathios Kotidis, Manousos-Georgios Pramateftakis, Ioannis Mantzoros, Angeliki Cheva, Georgios Geropoulos, Chr
    Journal of Clinical Medicine.2025; 14(5): 1654.     CrossRef
  • Clinical Benefits of Reducing Dead Space Using a Closed Suction Drain and Subcutaneous Large-bite Buried Suture Technique to Prevent Superficial Surgical-site Infections Following Primary Closure of a Diverting Stoma
    Yusuke Ohara, Yohei Owada, Jaejeong Kim, Shoko Moue, Yoshimasa Akashi, Koichi Ogawa, Kazuhiro Takahashi, Osamu Shimomura, Kinji Furuya, Shinji Hashimoto, Tsuyoshi Enomoto, Tatsuya Oda
    Journal of the Anus, Rectum and Colon.2024; 8(2): 70.     CrossRef
  • Comparison of purse-string technique vs linear suture for skin closure after ileostomy reversal. A randomized controlled trial
    Filippo Carannante, Gianluca Costa, Valentina Miacci, Gianfranco Bianco, Gianluca Masciana, Sara Lauricella, Marco Caricato, Gabriella Teresa Capolupo
    Langenbeck's Archives of Surgery.2024;[Epub]     CrossRef
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    Jinlong Luo, Dan Liu, Junmei Wu, Huaiwu Jiang, Jin Chen, Hua Yang, Lie Yang
    Medicine.2024; 103(35): e39477.     CrossRef
  • Gunsight suture with subcutaneous vacuum drainage during enterostomy decreased the surgical site infection rate in obese rectal cancer patients: A retrospective study
    Lei Zhang, Zhi-Qiang Xiao, Chang-Ling San, Tong-Lin Miao
    Journal of Nutritional Oncology.2023; 8(3): 151.     CrossRef
  • Effectiveness of negative pressure wound therapy with instillation and dwelling after stoma closure: a retrospective and propensity score matching analysis
    Yoshinori Yane, Jin-ichi Hida, Yasutaka Chiba, Yusuke Makutani, Hokuto Ushijima, Yasumasa Yoshioka, Masayoshi Iwamoto, Toshiaki Wada, Koji Daito, Tadao Tokoro, Kazuki Ueda, Junichiro Kawamura
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    Bradley R. Davis, Michael A. Valente, Joel E. Goldberg, Amy L. Lightner, Daniel L. Feingold, Ian M. Paquette
    Diseases of the Colon & Rectum.2022; 65(10): 1173.     CrossRef
  • The technique for less infectious and earlier healing of stoma closure wound: negative pressure wound therapy with instillation and dwelling followed by primary closure
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  • Purse-string vs. linear skin closure at loop ileostomy reversal: a systematic review and meta-analysis
    M. Gachabayov, H. Lee, A. Chudner, A. Dyatlov, N. Zhang, R. Bergamaschi
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    A.J. Brook, S.D. Mansfield, I.R. Daniels, N.J. Smart
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    Annals of Coloproctology.2015; 31(1): 7.     CrossRef
Case Report
A Case of Rectal Cancer in a Patient with Neurofibromatosis Type 1
Se Heon Oh, Jai Hyuen Lee, Hwan Namgung
J Korean Soc Coloproctol. 2012;28(3):170-173.   Published online June 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.3.170
  • 3,759 View
  • 29 Download
  • 1 Citations
AbstractAbstract PDF

A rectal cancer was found in a 67-year-old man with a history of neurofibromatosis type 1. A low anterior resection was performed, and he received concurrent chemoradiation for 6 months. Twelve months after the surgery, a tumor was found at the anastomotic site by positron emission tomography-computed tomography and colonoscopy and was mistaken as anastomotic site recurrence. The tumor was confirmed as an inflammatory myofibroblastic tumor through transanal excision.

Citations

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  • Life-threatening gastrointestinal bleeding in a case of neurofibromatosis 1 and gastrointestinal stromal tumour managed with surgical intervention as a case report
    Vijayashree Gokhale, Sangram Mangudkar, Ponvijaya Yadav, Varun Lingineni, Satbir Pharande
    SAGE Open Medical Case Reports.2024;[Epub]     CrossRef
Original Article
Bezoar-induced Small Bowel Obstruction
Se Heon Oh, Hwan Namgung, Mi Hyun Park, Dong-Guk Park
J Korean Soc Coloproctol. 2012;28(2):89-93.   Published online April 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.2.89
  • 6,105 View
  • 64 Download
  • 44 Citations
AbstractAbstract PDF
Purpose

The aim of this study was to observe the clinical features of a bezoar-induced small bowel obstruction and to investigate the role of abdominal computed tomography (CT) in establishing the diagnosis.

Methods

We retrospectively reviewed 20 cases of bezoar-induced small bowel obstruction in our hospital from 1996 to 2010.

Results

Thirteen patients (65%) had a history of abdominal surgery. Nine patients (45%) were diagnosed with a bezoar before surgery, seven patients were diagnosed by using abdominal CT, and two patients were diagnosed with a small bowel series. Abdominal CT was performed in 15 patients, and the diagnostic accuracy was 47% (7/15). Surgery revealed ten bezoars in the jejunum and 11 in the ileum. Two patients had bezoars found concurrently in the stomach. Spontaneous removal took place in two patients. An enterotomy and bezoar extraction was performed in 15 patients. Fragmentation and milking, a small bowel resection, and a Meckel's diverticulectomy were performed in one patient each. Early operative treatment was possible (P = 0.036) once the bezoar had been diagnosed by using abdominal CT. There tended to be fewer postoperative complications in patients who were diagnosed with a bezoar by using abdominal CT, but the result was not statistically significant (P = 0.712).

Conclusion

A preoperative diagnosis of bezoar-induced small bowel obstruction by using clinical features was difficult. Increased use of abdominal CT led to a more accurate diagnosis and to earlier surgery for bezoar-induced small bowel obstructions, thereby reducing the rate of complications.

Citations

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    Yifan Huang, Jie Meng, Shuo Zhang
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    A. S. Harutyunyan, V. D. Levitsky, V. V. Kiselev, P. A. Yartsev, A. V. Vodyasov, N. V. Shavrina
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    The Korean Journal of Gastroenterology.2017; 69(5): 312.     CrossRef
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    European Radiology.2015; 25(4): 922.     CrossRef
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  • Bulbus psododivertikülde mide çıkış obstrüksiyonuna neden olan ve gastroskopi ile mideye alınması sonrası ileus gelişen bezoar: olgu sunumu ve literatürün gözden geçirilmesi (duodenal bezoar)
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    E Castren, A Hakeem, N S Mahmood, K Aryal
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  • Complications of Bezoar in Children: What Is New?
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    Case Reports in Pediatrics.2013; 2013: 1.     CrossRef
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