Frossard Jean Louis, de Peyer Raymond
Department of Internal Medicine, Division of Gastroenterology, Hôpital Cantonal Universitaire de Genève, Geneva, Switzerland.
Case Rep Gastroenterol. 2011 Apr 13;5(1):201-5. doi: 10.1159/000326925.
Foreign digestive bodies present unusual circumstances because they are associated with various degrees of local trauma and may lead to direct perforation or delayed local injury. Patients with foreign bodies should be evaluated upon admission for signs of impaction and perforation. While all objects impacted in the esophagus require urgent treatment, rectal foreign bodies are usually removable through the anus. The current case illustrates successful endoscopic retrieval of a proximally located foreign body in a particular legal situation where physicians had to work closely with police officers and court members.
外来的消化道异物存在不同寻常的情况，因为它们与不同程度的局部创伤相关，并且可能导致直接穿孔或延迟性局部损伤。异物患者入院时应评估有无嵌顿和穿孔迹象。虽然所有嵌顿在食管的异物都需要紧急治疗，但直肠异物通常可经肛门取出。本病例说明了在一种特殊的法律情况下，医生必须与警察和法庭人员密切合作，成功地通过内镜取出了位于近端的异物。
