因误食牙签导致十二指肠穿孔和右肾积水。

Duodenal perforation and right hydronephrosis due to toothpick ingestion.

作者信息

Nigri Giuseppe R, Di Giulio Emilio, Di Nardo Raffaella, Pezzoli Francesca, D'Angelo Francesco, Aurello Paolo, Ravaioli Matteo, Ramacciato Giovanni

机构信息

Department of Surgery, La Sapienza University of Rome, II School of Medicine, Rome, Italy.

出版信息

J Emerg Med. 2008 Jan;34(1):55-7. doi: 10.1016/j.jemermed.2006.11.014. Epub 2007 Jun 14.

DOI:10.1016/j.jemermed.2006.11.014

PMID:17976746

Abstract

We report a case of a 36-year-old man who was admitted to the Emergency Department with right flank pain. The clinical presentation was suggestive of renal colic. However, a computed tomography scan showed the presence of a foreign body in the inferior duodenal flexure. Upper gastrointestinal endoscopy demonstrated a 6.5-cm wooden toothpick deeply embedded in the duodenal wall; this was removed via endoscopy. The peri-duodenal inflammatory reaction had encased the right ureter, resulting in hydronephrosis. The patient did well and was discharged on post-operative day 7. He did not recall toothpick ingestion. When evaluating patients with acute abdominal pain, foreign body ingestion should be considered. In patients with a history of toothpick ingestion, immediate diagnosis with endoscopic management should be performed.

摘要

我们报告一例36岁男性患者，因右侧胁腹疼痛入住急诊科。临床表现提示为肾绞痛。然而，计算机断层扫描显示十二指肠下曲存在异物。上消化道内镜检查发现一根6.5厘米长的木制牙签深深嵌入十二指肠壁；通过内镜将其取出。十二指肠周围的炎症反应包裹了右侧输尿管，导致肾积水。患者恢复良好，术后第7天出院。他不记得曾吞食牙签。在评估急性腹痛患者时，应考虑异物吞食情况。对于有牙签吞食史的患者，应立即进行内镜诊断和处理。