Clarke R, Everett T, Watts A, Qureshi T
Colorectal Department, Poole Hospital, UK.
BMJ Case Rep. 2010 Oct 12;2010:bcr0120102667. doi: 10.1136/bcr.01.2010.2667.
An 8-year-old boy with Asperger's syndrome presented with right-sided abdominal pain, which was consistent with a probable appendicitis, but revisiting the history with a high index of suspicion confirmed multiple foreign body ingestion to be the cause of his symptoms. An emergency laparotomy was performed. Multiple toy magnets and other metal objects were found, which were causing small bowel obstruction with interloop fistulation. Following removal and repair, the patient made an excellent recovery.
一名患有阿斯伯格综合征的8岁男孩出现右侧腹痛,这与可能的阑尾炎相符,但高度怀疑地重新询问病史后证实,多种异物摄入是其症状的病因。进行了急诊剖腹手术。发现了多个玩具磁铁和其他金属物体,它们导致小肠梗阻并伴有肠袢间瘘管形成。取出异物并进行修复后,患者恢复良好。