Viveiros Eulália, Moniz Marta, Nunes Pedro, Silvestre Catarina
Pediatric Department, Hospital do Divino Espírito Santo de Ponta Delgada, EPE, Ponta Delgada, Azores, Portugal.
BMJ Case Rep. 2013 Jun 5;2013:bcr2013008890. doi: 10.1136/bcr-2013-008890.
We report a case of a 17-year-old institutionalised male with a medical history of fragile X syndrome, bilateral congenital glaucoma, cataracts and pica disorder. He was transferred to our paediatric intensive care unit owing to respiratory failure and hypotension. On transoesophageal echocardiogram, he presented left atrium compression. A CT of the thorax and mediastinum revealed an unknown heterogeneous material in the lumen of the stomach and oesophagus, with a lung parenchyma suggestive of alveolar foreign material. Endoscopic evaluation showed diaper fragments inside the oesophagus and stomach. Fragmentation and suction of diaper material was made. Medical treatment was performed with inotropic support, conventional mechanical ventilation and antibiotics.
我们报告一例17岁的男性，居住于福利院，有脆性X综合征、双侧先天性青光眼、白内障和异食癖病史。因呼吸衰竭和低血压转入我们的儿科重症监护病房。经食管超声心动图显示他有左心房受压。胸部和纵隔CT显示胃和食管腔内有不明异质性物质，肺实质提示有肺泡内异物。内镜评估显示食管和胃内有尿布碎片。对尿布材料进行了破碎和抽吸。给予了正性肌力支持、传统机械通气和抗生素治疗。
