Saunders David, Jones Michael, Kaushik Monika, Thomas William Michael
UHL, Leicester General Hospital, Leicester, UK.
BMJ Case Rep. 2014 Mar 17;2014:bcr2013009533. doi: 10.1136/bcr-2013-009533.
We report a case of a bowel perforation due to a fish bone that presented as an acute abdomen. This patient's gastrointestinal perforation was treated with laparoscopic and open technique. Diagnosis can be difficult as foreign body bowel perforation can mimic other causes of acute abdomen. Diagnosis is still most commonly made intraoperatively. Laparoscopy proved useful in this case as it allowed the most appropriate surgical approach to be made.
我们报告一例因鱼骨导致肠穿孔并表现为急腹症的病例。该患者的胃肠道穿孔采用腹腔镜和开放手术技术进行治疗。由于异物性肠穿孔可能会模仿其他急腹症病因,所以诊断可能会很困难。目前诊断仍最常在术中做出。在该病例中,腹腔镜检查被证明是有用的,因为它有助于采取最合适的手术方法。