内視鏡にて除去可能であった長期滞留バリウム糞石の 1 例

A 64-year-old man, in good health his entire life, was admitted to our hospital with anorexia. Until three years ago, he had undergone an upper gastrointestinal series on an annual basis. An abdominal CT scan showed a calcified lesion in the rectum measuring 7 cm, and no evidence of free air. There were no abdominal symptoms indicating intestinal obstruction or perforation. The patient was hospitalized for endoscopic treatment and the barolith was removed after crushing it with a polypectomy snare. The diagnosis was confirmed after examination of the removed samples using infrared spectroscopy and scanning electron microscopy. Baroliths are prone to causing intestinal obstruction and perforation of the digestive tract, leading to severe complications. We report a case of barolith treated endoscopically.