Ricci Gabriele, Campisi Nello, Capuano Giovanni, De Vido Luigi, Lazzaro Luca, Simonatto Giuliana, Termini Barbara, Turriziani Valeria, Fidanza Francesco
Division of General and Laparoscopic Surgery, San Tommaso dei Battuti Hospital, Via Zappetti 58, 30026 Portogruaro, Italy.
Case Rep Surg. 2012;2012:791857. doi: 10.1155/2012/791857. Epub 2012 Nov 6.
The accidental ingestion of a foreign body into the gastrointestinal tract is not uncommon, but the vast majority of foreign bodies pass through the gastrointestinal tract uneventfully within a week. Less than 1% of patients with foreign body ingestion develop complications such as perforation of the gastrointestinal tract. The migration of an ingested foreign body may result in chronic inflammation, a silent clinical course, and radiological features suggestive of a neoplasm. The authors report a case of chicken bone perforation of the gastric wall that leads to hepatic abscess formation and thereafter to submucosal pseudotumor of the gastric wall treated with totally laparoscopic management. Usefulness of endoscopic ultrasonography for a correct diagnosis is also stressed.
异物意外摄入胃肠道并不罕见，但绝大多数异物会在一周内顺利通过胃肠道。异物摄入患者中不到1%会出现诸如胃肠道穿孔等并发症。摄入异物的迁移可能导致慢性炎症、隐匿的临床病程以及提示肿瘤的放射学特征。作者报告了一例鸡骨穿孔胃壁导致肝脓肿形成，进而导致胃壁黏膜下假瘤并接受全腹腔镜治疗的病例。还强调了内镜超声检查对正确诊断的有用性。
