Will Uwe, Eger Horst, Hartmut Schweikart, Meyer Frank
Municipal Hospital, Department of Gastroenterology, Strasse des Friedens 122, Gera, 07548, Germany.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.08.2008.0815. Epub 2009 Apr 7.
Chronic complaints and non-specific symptoms are always challenging for the selection of adequate diagnostic management and therapeutic decision making (eg, in uncharacteristic metallic taste). In this extraordinary, but exemplary case, the successful outcome for a 51-year-old woman with a chronic complaint of metallic taste (believed to be the first report in the literature as a cause of copper overload) is described. The patient underwent, after appropriate diagnostic measures, including MRI (detection), laboratory analysis of serum copper level (increased) and endoscopic ultrasound scan (localising the site), a minimal invasive treatment using endoscopic mucosectomy to remove a detected needle-like copper-containing foreign body from the intramural site of the gastric wall.
慢性主诉和非特异性症状对于选择适当的诊断管理和治疗决策始终具有挑战性（例如，出现不典型的金属味）。在这个特殊但具有代表性的病例中，描述了一名51岁患有慢性金属味主诉的女性的成功治疗结果（据信这是文献中作为铜过载原因的首例报告）。在采取了包括MRI（检测）、血清铜水平实验室分析（升高）和内镜超声扫描（定位部位）等适当的诊断措施后，患者接受了微创治疗，即通过内镜黏膜切除术从胃壁壁内部位取出检测到的针状含铜异物。
