Santamarina R, Yeso V O, Fanelli R D
Department of Surgery, Berkshire Medical Center, 725 North Street, Pittsfield, MA 01201, USA.
Surg Endosc. 2003 Feb;17(2):351. doi: 10.1007/s00464-002-4539-0. Epub 2002 Nov 20.
Management of orally ingested foreign bodies usually consists of endoscopic retrieval while the objects reside within the esophagus or stomach. Although most foreign bodies that pass through the pylorus will be excreted without incident, some may become impacted distally, resulting in obstruction or perforation. Appendiceal foreign bodies have been reported rarely, yet have resulted in the development of acute appendicitis. We report the case of a young male who swallowed a nail that became impacted in the appendiceal lumen and was retrieved colonoscopically before the development of acute appendicitis.
口服异物的处理通常包括在内镜下取出异物，前提是异物位于食管或胃内。尽管大多数通过幽门的异物会顺利排出，但有些可能会在远端嵌顿，导致梗阻或穿孔。阑尾异物的报道很少，但可导致急性阑尾炎。我们报告一例年轻男性病例，他吞下一枚钉子，钉子嵌顿在阑尾腔内，在急性阑尾炎发生前通过结肠镜取出。
