Kanazawa Shigeo, Ishigaki Katsu, Miyake Takashi, Ishida Atsuhisa, Tabuchi Atsushi, Tanemoto Kazuo, Tsunoda Tsukasa
Department of Surgery, Ishikawa General Hospital, 784 Bessho, Himeji, Hyogo 671-0221, Japan.
Surg Today. 2003;33(4):312-4. doi: 10.1007/s005950300071.
An unusual case of a toothpick perforating the stomach, then penetrating the liver, and thereafter forming a liver abscess is reported. A 48-year-old woman who had ingested a toothpick 1 month earlier was admitted to our hospital because of severe epigastralgia which had progressively worsened. A laparotomy was performed because a granulomatous abscess in the liver due to this ingested foreign body was suspected. We found a granulomatous abscess in the liver due to the penetration of the toothpick through the stomach. The toothpick had become completely embedded about 2 cm deep in the left lobe of the liver. When dissecting the tumor, a 5.5-cm toothpick was removed, and a partial lateral resection of the liver was performed. The histological diagnosis was a hepatic abscess with granulomatous change. This was a rare case of a migration of an ingested toothpick into the liver through the stomach.
本文报告了一例罕见的牙签穿破胃壁，继而穿透肝脏并形成肝脓肿的病例。一名48岁女性，1个月前吞食了一根牙签，因上腹部剧痛逐渐加重而入院。由于怀疑肝脏因吞食异物形成肉芽肿性脓肿，遂行剖腹探查术。我们发现肝脏因牙签穿透胃壁而形成肉芽肿性脓肿。牙签已完全嵌入肝左叶约2厘米深处。在切除肿物时，取出了一根5.5厘米长的牙签，并进行了肝脏部分外侧切除术。组织学诊断为伴有肉芽肿性改变的肝脓肿。这是一例吞食的牙签经胃迁移至肝脏的罕见病例。
Zotero 插件