肠道内异物存留可能是先天性梗阻性异常的一个征象：病例报告
Retention of foreign body in the gut can be a sign of congenital obstructive anomaly: a case report.
作者信息
Subudhi Pravas Chandra, Singh Shivaram Prasad, Meher Chudamani, Agrawal Omprakash
机构信息
Department of Gastroenterology, SCB Medical College, Cuttack, Orissa, India.
出版信息
J Med Case Rep. 2008 Sep 9;2:293. doi: 10.1186/1752-1947-2-293.
INTRODUCTION
Small smooth objects that enter the gut nearly always pass uneventfully through the gastrointestinal tract. Retention of foreign objects may occur due to congenital obstructive anomaly of the gut.
CASE PRESENTATION
We report here a child who presented with features of small gut obstruction which were attributed to a foreign body impacted in the intestine. At surgery, an annular pancreas was detected and the foreign body was found to be lodged in the distended proximal duodenum.
CONCLUSION
The reported case highlights the fact that an impacted radio-opaque foreign body in a child should warn the pediatrician to the possibility of an obstructive congenital anomaly.
引言
进入肠道的小而光滑的物体几乎总是能顺利通过胃肠道。异物滞留可能是由于肠道先天性梗阻异常所致。
病例报告
我们在此报告一名儿童，其表现出小肠梗阻的特征，原因是有异物嵌顿在肠道内。手术时，发现了环状胰腺，异物嵌顿在扩张的十二指肠近端。
结论
该病例报告强调了这样一个事实，即儿童体内嵌顿不透射线的异物应提醒儿科医生注意存在梗阻性先天性异常的可能性。
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