Chiu Jun-Jie, Chen Tzu-Ling, Zhan Yi-Ling
Department of Emergency Medicine, Taipei County Hospital, Taipei, Taiwan.
J Emerg Med. 2009 May;36(4):345-7. doi: 10.1016/j.jemermed.2007.11.007. Epub 2008 Feb 20.
The inadvertent swallowing of foreign bodies is common, but rarely results in perforation of the gastrointestinal tract. Because any site of the gastrointestinal tract may be perforated by a foreign body, the clinical presentation may vary and mimic diverse medical conditions. We report the case of a 60-year-old man who experienced left upper quadrant pain of 4 weeks duration before the onset of peritoneal signs. The symptoms were shown to result from perforation of the transverse colon by a fish bone (35 mm in length) with a developing abscess.
误吞异物很常见，但很少导致胃肠道穿孔。由于胃肠道的任何部位都可能被异物穿孔，临床表现可能各不相同，并类似于多种疾病。我们报告一例60岁男性病例，该患者在出现腹膜体征前4周持续存在左上腹疼痛。症状显示是由一根长35毫米的鱼骨导致横结肠穿孔并形成脓肿所致。
