Cho Eun Ae, Lee Du Hyeon, Hong Hyoung Ju, Park Chang Hwan, Park Seon Young, Kim Hyun Soo, Choi Sung Kyu, Rew Jong Sun
Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Clin Endosc. 2014 Mar;47(2):188-91. doi: 10.5946/ce.2014.47.2.188. Epub 2014 Mar 31.
Most ingested foreign bodies often pass through the gastrointestinal tract uneventfully; however, complications such as perforation do occur. Most cases of perforation are caused by thin, pointed objects such as needles, toothpicks, or fish and chicken bones. Herein, we report an unusual case of duodenal perforation caused by a lollipop stick with blunt ends. A 23-year-old woman was admitted to the emergency department complaining of epigastric and right upper quadrant pain for the last 2 days. Abdominal computed tomography scans confirmed the presence of a foreign body in the duodenum, with signs of duodenal perforation and inflammation. The patient was not aware of ingesting the foreign body. Endoscopy revealed the presence of a lollipop stick in the duodenum, which was removed with forceps. The duodenal perforation was successfully managed by using hemoclips and a detachable snare.
大多数摄入的异物通常会顺利通过胃肠道;然而,诸如穿孔之类的并发症确实会发生。大多数穿孔病例是由细的、尖锐的物体引起的,如针、牙签或鱼和鸡的骨头。在此,我们报告一例由钝头棒棒糖棒引起的十二指肠穿孔的罕见病例。一名23岁女性因上腹部和右上腹疼痛2天而被收入急诊科。腹部计算机断层扫描证实十二指肠内有异物,伴有十二指肠穿孔和炎症迹象。患者并未意识到摄入了异物。内镜检查发现十二指肠内有一根棒棒糖棒,用钳子将其取出。十二指肠穿孔通过使用止血夹和可拆卸圈套成功处理。