Choi Yonghoon, Kim Gyuwon, Shim Chansup, Kim Dongkeun, Kim Dongju
Yonghoon Choi, Dongkeun Kim, Dongju Kim, Department of Internal Medicine, Sahmyook Seoul Hospital, Seoul 130711, South Korea.
World J Gastroenterol. 2014 Feb 14;20(6):1626-9. doi: 10.3748/wjg.v20.i6.1626.
Perforation of the gastrointestinal tract by ingested foreign bodies is extremely rare in otherwise healthy patients, accounting for < 1% of cases. Accidentally ingested foreign bodies could cause small bowel perforation through a hernia sac, Meckel's diverticulum, or the appendix, all of which are uncommon. Despite their sharp ends and elongated shape, bowel perforation caused by ingested fish bones is rarely reported, particularly in patients without intestinal disease. We report a case of 57-year-old female who visited the emergency room with periumbilical pain and no history of underlying intestinal disease or intra-abdominal surgery. Abdominal computed tomography and exploratory laparotomy revealed a small bowel micro-perforation with a 2.7-cm fish bone penetrating the jejunal wall.
在其他方面健康的患者中，摄入异物导致胃肠道穿孔极为罕见，占病例的比例不到1%。意外摄入的异物可通过疝囊、梅克尔憩室或阑尾导致小肠穿孔，所有这些情况都不常见。尽管鱼骨尖锐且形状细长，但摄入鱼骨导致肠穿孔的情况很少被报道，尤其是在没有肠道疾病的患者中。我们报告一例57岁女性患者，她因脐周疼痛就诊于急诊室，既往无肠道疾病史或腹部手术史。腹部计算机断层扫描和剖腹探查显示小肠有一个微小穿孔，一根2.7厘米长的鱼骨穿透空肠壁。
