Medani Mekki, Myers Eddie, Kenny Bryan, Waldron David
Department of Surgery & Radiology, Mid-Western Regional Hospital, Limerick, Ireland.
Cases J. 2009 Dec 7;2:9155. doi: 10.1186/1757-1626-2-9155.
Small bowel obstruction is a common world-wide condition that has a range of etiological factors. The management is largely dependent on the cause of the obstruction. Small bowel obstruction caused by foreign body ingestion is rare; many items have been reported as responsible, but there are no reports implicating polyurethane foam.
We report the case of a 44-year-old Irish male who presented following ingestion of polyurethane foam. He was asymptomatic on presentation but developed a small bowel obstruction shortly thereafter.
Patients presenting following ingestion of polyurethane foam should be scheduled for elective laparotomy, gastrotomy, and retrieval of the cast on the next available theatre list - given that they are suitable for surgery.
小肠梗阻是一种全球范围内常见的病症,其病因多种多样。治疗方法很大程度上取决于梗阻的原因。因吞食异物导致的小肠梗阻较为罕见;已有许多物品被报道可导致小肠梗阻,但尚无涉及聚氨酯泡沫的相关报道。
我们报告一例44岁爱尔兰男性因吞食聚氨酯泡沫前来就诊的病例。他就诊时无症状,但随后不久便出现了小肠梗阻。
对于吞食聚氨酯泡沫后前来就诊的患者,如果适合手术,应安排在下次可用的手术日程中进行择期剖腹探查术、胃切开术并取出异物。