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因摄入异物导致的肛周脓肿。

Perianal abscesses due to ingested foreign bodies.

作者信息

Doublali Mbarek, Chouaib Ali, Elfassi Mohammed Jamal, Farih Mly Hassan, Benjelloun Bachir, Agouri Younes, Zahid F Z, Louchi A

机构信息

Department of Urology, University Hospital Center, Fez, Morocco.

出版信息

J Emerg Trauma Shock. 2010 Oct;3(4):395-7. doi: 10.4103/0974-2700.70769.

DOI:10.4103/0974-2700.70769
PMID:21063564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2966574/
Abstract

The clinical presentation of perianal abscesses due to foreign bodies (FBs) impacted in the anal canal mimics common causes of acute anal pain. The diagnosis can be established by digital rectal examination and/or proctoscopy, but may miss the presence of an FB. Incision and drainage of the abscess, along with removal of the FB, results in immediate pain relief and cure. Impacted FB must not be overlooked as an unusual cause of perianal abscess. One case of perianal abscesses due to FB impacted in the anal canal is reported.

摘要

肛管内异物（FBs）嵌顿所致肛周脓肿的临床表现与急性肛门疼痛的常见病因相似。通过直肠指检和/或直肠镜检查可确诊，但可能会漏诊异物的存在。脓肿切开引流并取出异物可立即缓解疼痛并治愈。作为肛周脓肿的一种罕见病因，嵌顿的异物绝不能被忽视。本文报告1例肛管内异物嵌顿所致肛周脓肿的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ca/2966574/78c8fa4f202f/JETS-3-395-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ca/2966574/edb749237fa3/JETS-3-395-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ca/2966574/dfe90bcec439/JETS-3-395-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ca/2966574/78c8fa4f202f/JETS-3-395-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ca/2966574/edb749237fa3/JETS-3-395-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ca/2966574/dfe90bcec439/JETS-3-395-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ca/2966574/78c8fa4f202f/JETS-3-395-g003.jpg

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引用本文的文献

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Gluteal Abscess Secondary to Rectal Perforation Due to Ingested Foreign Body: A Report of Two Cases.因吞食异物导致直肠穿孔继发臀肌脓肿：两例报告
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3
An unusual cause of perianal fistula.肛周瘘管的一种罕见病因。

本文引用的文献

1
Risk factors predicting the development of complications after foreign body ingestion.预测异物摄入后并发症发生的危险因素。
Br J Surg. 2003 Dec;90(12):1531-5. doi: 10.1002/bjs.4356.
2
3D-CT diagnosis for ingested foreign bodies.摄入异物的三维计算机断层扫描诊断
Am J Emerg Med. 2000 Mar;18(2):192-3. doi: 10.1016/s0735-6757(00)90018-4.
3
Toothpick impaction with localized sigmoid perforation: successful colonoscopic management.牙签嵌顿伴局限性乙状结肠穿孔：结肠镜成功治疗
J Surg Case Rep. 2011 Oct 1;2011(10):4. doi: 10.1093/jscr/2011.10.4.
Gastrointest Endosc. 1999 Nov;50(5):708-9. doi: 10.1016/s0016-5107(99)80029-7.
4
Intra-abdominal chicken-bone abscess.腹腔内鸡骨脓肿。
Radiology. 1971 Nov;101(2):311-3. doi: 10.1148/101.2.311.
5
Multiple ingested foreign bodies impacting in the rectum.多个经口摄入的异物嵌顿于直肠。
Br J Clin Pract. 1990 Apr;44(4):160.
6
The potential hazards of eating fish.食用鱼类的潜在危害。
Gastroenterology. 1990 Aug;99(2):602. doi: 10.1016/0016-5085(90)91056-c.
7
Acute anal pain and ingested foreign body impaction.急性肛门疼痛和吞食异物嵌塞
Br J Clin Pract. 1990 Jun;44(6):244-6.
8
Acute anal pain due to ingested bone.因吞食骨头导致的急性肛门疼痛。
Int J Colorectal Dis. 1991 Nov;6(4):212-3. doi: 10.1007/BF00341393.