Deeba Samer, Purkayastha Sanjay, Jeyarajah San, Darzi Ara
Department of BioSurgery & Surgical Technology, Imperial College Healthcare, St. Mary's Hospital Campus QEQM Building, 10 Floor, South Wharf Road, London W2 1NY UK.
Cases J. 2009 Sep 9;2:7532. doi: 10.4076/1757-1626-2-7532.
The presentation of ingested foreign bodies in the gastrointestinal system is common in the emergency setting. The majority responds to conservative management and passes spontaneously; however, giant foreign bodies pose a management difficulty. We report a peculiar case of a giant foreign body (spoon) that presented very late after ingestion and the management of this presentation.
A 30-year-old British white male barrister presented with abdominal pain 10 years after he swallowed a spoon that never passed spontaneously. His workup revealed the spoon lodged in his ascending colon. Laparoscopic retrieval was not feasible so a laparotomy was done for retrieval. He did well and went home with no complications.
Symptomatic giant ingested foreign bodies represent a management challenge sometimes and usually necessitate surgical intervention when all conservative means fail. We review the literature on management of giant ingested foreign bodies.
在急诊情况下，胃肠道系统内摄入异物的情况很常见。大多数异物通过保守治疗即可自行排出；然而，巨大异物的处理则存在困难。我们报告一例特殊的巨大异物（勺子）病例，该异物在摄入后很长时间才出现症状，以及对该病例的处理情况。
一名30岁的英国白人男性大律师在吞下一把勺子10年后出现腹痛，该勺子一直未自行排出。检查发现勺子嵌顿在升结肠。腹腔镜取出不可行，因此进行了剖腹手术取出。患者恢复良好，无并发症出院。
有症状的巨大摄入性异物有时是一个处理难题，当所有保守方法都失败时，通常需要手术干预。我们回顾了有关巨大摄入性异物处理的文献。
