Tai Angela W, Sodickson Aaron
Department of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Emerg Radiol. 2007 Jun;14(2):105-8. doi: 10.1007/s10140-007-0582-4. Epub 2007 Mar 7.
We report a case of foreign body ingestion of a blister pill pack, causing small bowel obstruction. A 76-year-old woman on multiple medications presented with 3 days of progressive abdominal distention, nausea, and vomiting. A computed tomography (CT) scan demonstrated small bowel obstruction with a distinctive metallic foreign body in the distal ileum with associated wall thickening and mesenteric inflammatory changes. At exploratory laparotomy, an impacted, intact blister pill pack was removed from the distal ileum. The ingestion of blister pill packs has been associated with a range of clinical and imaging findings. To our knowledge, this is the only reported case of CT diagnosis of small bowel obstruction caused by blister pack ingestion. Early recognition of the imaging findings of an ingested blister pill pack is important to expedite appropriate management.
我们报告一例因吞食泡罩包装药丸导致小肠梗阻的病例。一名正在服用多种药物的76岁女性，出现进行性腹胀、恶心和呕吐3天。计算机断层扫描（CT）显示小肠梗阻，在回肠末端有一个独特的金属异物，伴有肠壁增厚和肠系膜炎症改变。在剖腹探查术中，从回肠末端取出了一个嵌顿的完整泡罩包装药丸。吞食泡罩包装药丸与一系列临床和影像学表现有关。据我们所知，这是唯一一例经CT诊断为泡罩包装药丸吞食导致小肠梗阻的病例。早期识别吞食泡罩包装药丸的影像学表现对于加快适当的处理很重要。
