Rao V S R, Sarkar R, Turner Richard, Wedgwood K R
Department of General Surgery, Castle Hill Hospital, Castle Road, Cottingham HU16 5BQ, UK.
Case Rep Surg. 2011;2011:509806. doi: 10.1155/2011/509806. Epub 2011 Oct 19.
Perforation of the gastrointestinal tract by ingested foreign body is rare. The majority of patients do not recall ingestion of the foreign body, and dietary foreign bodies are most commonly involved. We present an interesting case where the offending foreign body gave rise to a diagnostic dilemma masquerading as a pancreatic mass. A high index of suspicion is indicated especially when dealing with atypical presentation and nonspecific symptoms as highlighted in this case.
吞食异物导致胃肠道穿孔较为罕见。大多数患者记不起曾吞食异物，且吞食的异物大多为食物。我们报告一例有趣的病例，致病异物伪装成胰腺肿块，引发了诊断难题。尤其在处理如本病例中所强调的非典型表现和非特异性症状时，需要高度怀疑。
