Lee Min Kyung, Hyun Yu Kyung, Kim Yoon Ji, Yoon Soo Young, Joh Joon Hee, Lee Jong In, Cho Jae Hee, Kim Hee Man
Departments of Internal Medicine, Radiology and Surgery, Kwandong University College of Medicine, Goyang, Korea.
Korean J Gastroenterol. 2011 Oct 25;58(4):212-6. doi: 10.4166/kjg.2011.58.4.212.
Fish bones are often ingested accidently. Most of them passes out through the gastrointestinal tract safely, but serious complications, such as perforation, abscess, obstruction, and bleeding in the gastrointestinal tract, can occur. An ingested fish bone can be easily removed by endoscopy, and surgery is rarely required. However, there may be complications related to the endoscopic procedure including mucosal laceration, bleeding, fever, and perforation. Here, we report a case of retroperitoneal hemorrhage developed after endoscopic removal of a fish bone stuck in the duodenal wall, and then resolved spontaneously by conservative care.
鱼骨常被意外吞食。大多数鱼骨可安全通过胃肠道排出，但也可能发生严重并发症，如胃肠道穿孔、脓肿、梗阻和出血。吞食的鱼骨可通过内镜轻松取出，很少需要手术。然而，内镜检查过程可能会出现并发症，包括黏膜撕裂、出血、发热和穿孔。在此，我们报告一例在内镜下取出卡在十二指肠壁的鱼骨后发生腹膜后出血，随后通过保守治疗自发缓解的病例。
