Kaoutzanis Christodoulos, Saghir Wassim, Hamade Ayman, Garrett William
Department of General Surgery, Medway Maritime Hospital, Kent, UK.
BMJ Case Rep. 2010 Sep 9;2010:bcr0520103047. doi: 10.1136/bcr.05.2010.3047.
Cocktail stick (CS) ingestion injury has rarely been reported in the literature. It is a serious clinical problem with considerable morbidity and mortality, largely due to the fact that the event is unnoticed by the patient. We report a case of CS ingestion that went unrecognised by the patient and caused a perforation in the mid-small bowel. We discuss how injuries from such events can become a diagnostic challenge. The history should be re-evaluated in any undiagnosed abdominal pain which has an unclear aetiology and negative radiology.
文献中鲜有鸡尾酒签(CS)吞食损伤的报道。这是一个严重的临床问题,具有相当高的发病率和死亡率,很大程度上是因为患者未察觉该事件。我们报告一例患者未意识到的CS吞食病例,该病例导致中小肠中段穿孔。我们讨论了此类事件造成的损伤如何成为诊断难题。对于任何病因不明且放射学检查阴性的未确诊腹痛,都应重新评估病史。