一例罕见的胃内异物。

An unusual gastric foreign body.

作者信息

Muñoz N A, Takehara H, Hashimoto T, Yoshida K, Komi N

机构信息

First Department of Surgery, School of Medicine, University of Tokushima, Japan.

出版信息

Acta Paediatr Jpn. 1991 Aug;33(4):492-5. doi: 10.1111/j.1442-200x.1991.tb02577.x.

DOI:10.1111/j.1442-200x.1991.tb02577.x

PMID:1792909

Abstract

Ingestion of foreign bodies is common in children. The majority of those which reach the stomach will pass uneventfully through the gastrointestinal tract. We report here an 9-month-old boy who swallowed an earring. Several roentgenologic examinations revealed a small, closed earring in the stomach. Endoscopic removal failed. At surgery the earring was seen grasping the pyloric ring and one end had eroded the gastric mucosa. These caused the earring to anchor firmly to the pylorus, as if it were attached to an ear lobe. The unusual way in which it was lodged in the stomach caused the impediment to its further progress, but fortunately, this was without serious consequences. Early endoscopic examination for retained foreign bodies in the stomach is recommended.

摘要

儿童吞食异物很常见。大多数进入胃内的异物会顺利通过胃肠道。我们在此报告一名9个月大的男童吞食了一只耳环。多次X线检查显示胃内有一个小的、封闭的耳环。内镜取出失败。手术中发现耳环卡在幽门环上，一端已侵蚀胃黏膜。这些情况导致耳环牢固地固定在幽门处，就好像它附着在耳垂上一样。它在胃内的异常嵌顿方式阻碍了其进一步移动，但幸运的是，并未造成严重后果。建议对胃内残留异物尽早进行内镜检查。