Lehmer Larisa M, Ragsdale Bruce D, Daniel John, Hayashi Edwin, Kvalstad Robert
Western Dermatopathology Department, Central Coast Pathology, San Luis Obispo, California, USA.
BMJ Case Rep. 2011 Sep 4;2011:bcr0220113869. doi: 10.1136/bcr.02.2011.3869.
A plastic bag clip was incidentally found anchored in the mucosa of a partial colectomy specimen 2.6 cm proximal to a ruptured diverticulum for which the patient, a mentally retarded, diabetic, 58-year-old man, underwent surgery. Over 20 cases of accidental ingestion of plastic bag clips have been published. Known complications include small bowel perforation, obstruction, dysphagia, gastrointestinal bleeding and colonic impaction. Preoperative diagnosis of plastic clips lodged in the gastrointestinal tract is frustrated due to radiographic translucency. This occult threat could likely be prevented by the design of gastrointestinally safe, plastic-bag-sealing devices. Presented here is a morphologically based classification of bag clips as a possible guide for determining the most hazardous varieties and to aid further discussions of their impact on health.
在一名58岁患有糖尿病的智障男性患者因憩室破裂行部分结肠切除术的标本中，意外发现一个塑料袋夹固定在距破裂憩室近端2.6厘米处的黏膜中。已发表了20多例塑料袋夹意外摄入的病例。已知的并发症包括小肠穿孔、梗阻、吞咽困难、胃肠道出血和结肠梗阻。由于X线可透性，胃肠道内留置塑料夹的术前诊断很困难。这种潜在威胁很可能可以通过设计对胃肠道安全的塑料袋密封装置来预防。本文提出了一种基于形态学的塑料袋夹分类方法，作为确定最危险类型的可能指南，并有助于进一步讨论其对健康的影响。
