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Такой предмет затрудняет нормальное движение кишечного содержимого [1](https://ProBolezny.ru/inorodnoe-telo-kishechnika/). \n\n**При подозрении на попадание инородного тела в кишечник нужно сразу обратиться за медицинской помощью** [1](https://ProBolezny.ru/inorodnoe-telo-kishechnika/). Самостоятельно извлекать предмет нельзя — это может привести к повреждению стенок кишки и сфинктера [4](https://yusupovs.com/articles/khirurgiya/udalenie-inorodnogo-tela-iz-kishechnika/).\n\n## Причины\n* **Случайное заглатывание** мелких объектов (пуговицы, монеты, мелкие детали игрушек) детьми [2](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-foreign-body). \n* **У взрослых** — попадание инородных тел в желудочно-кишечный тракт во время еды (косточки, зубные протезы), а также из-за привычки держать во рту мелкие детали (гвоздь, булавку) [2](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-foreign-body). \n* **Формирование внутри кишечника** — например, волосяные шары (трихобезоары) образуются при периодическом заглатывании волос [1](https://ProBolezny.ru/inorodnoe-telo-kishechnika/)[2](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-foreign-body). \n* **Травмы** — осколки, пули, куски дерева и другие предметы, которые попадают в кишечник при ранениях [2](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-foreign-body). \n* **Оперативные вмешательства** — не рассасывающийся шовный материал, металлические скобы и скрепки, реже — потерянный дренажный материал [2](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-foreign-body).\n\n## Симптомы\nСимптомы зависят от расположения и характеристик инородного тела [1](https://ProBolezny.ru/inorodnoe-telo-kishechnika/). Некоторые признаки: \n* **При небольших предметах**, свободно проходящих по кишечнику, — лёгкий дискомфорт в животе или симптомов может не быть совсем [1](https://ProBolezny.ru/inorodnoe-telo-kishechnika/). \n* **Выраженная боль в животе**, расстройство стула или его отсутствие [2](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-foreign-body). \n* **Если острый предмет повреждает слизистую кишечника**, — симптомы кровотечения (кровь в испражнениях) [2](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-foreign-body). \n* **При перфорации кишечника с развитием перитонита** — боль приобретает разлитой характер, повышается температура тела, состояние пациента становится тяжёлым [2](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-foreign-body).\n\n## Диагностика\nДля диагностики инородного тела в кишечнике используют: \n* **Обзорную рентгенографию брюшной полости** — позволяет визуализировать инородное тело, оценить его размеры и расположение [2](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-foreign-body). \n* **Рентгеноскопию с введением контрастного вещества** — при инородных телах малых размеров и неконтрастирующихся при рентгенографии (например, из дерева, алюминия, пластмассы) [2](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-foreign-body). \n* **Для выявления предметов в толстой кишке** — колоноскопию, при локализации в прямой кишке — пальцевое ректальное исследование [2](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-foreign-body).\n\n## Лечение\nВ лечении может применяться **выжидательная тактика**, **эндоскопическое или хирургическое удаление** [2](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-foreign-body). 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