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儿童缝衣针移入肝脏:病例报告及文献复习

A sewing needle migrating into the liver in a child: case report and review of the literature.

作者信息

Azili Müjdem Nur, Karaman Ayşe, Karaman Ibrahim, Erdoğan Derya, Cavuşoğlu Yusuf Hakan, Aslan Mustafa Kemal, Cakmak Ozden

机构信息

Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Babür cad, 06080 Altindağ, Ankara, Turkey.

出版信息

Pediatr Surg Int. 2007 Nov;23(11):1135-7. doi: 10.1007/s00383-007-1914-x. Epub 2007 Mar 27.

Abstract

Swallowing foreign bodies is a common problem in children. Although most objects pass through the gastrointestinal tract with no untoward effect; long, sharp-pointed, or slender objects can perforate the gut. Migration of an object to the liver is extremely rare and very few cases have been reported in the literature. The aim of this study is to draw attention to this subject once again by contributing a case report of a child with a hepatic sewing needle. A survey of the literature over the period from 1971 to 2006 revealed a total of five cases of childhood hepatic sewing needle together with our case. The practical lesson illustrated by this report is that the surgeon must carefully evaluate the liver when foreign body was not found in gastrointestinal system and also perforation site was found anywhere.

摘要

吞食异物是儿童中的常见问题。尽管大多数异物可顺利通过胃肠道而无不良影响,但长的、尖锐的或细长的物体可能会穿透肠道。异物迁移至肝脏极为罕见,文献中报道的病例很少。本研究的目的是通过提供一例儿童肝内缝针的病例报告,再次引起对该问题的关注。对1971年至2006年期间的文献调查显示,包括我们的病例在内,共有5例儿童肝内缝针病例。本报告所阐明的实际经验是,当在胃肠道系统未发现异物而在任何部位发现穿孔时,外科医生必须仔细评估肝脏。

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