Avila Alvarez Albert Alejandro, Parra Jose Fernando, Buitrago Diego Andres, Rodriguez Fernando, Moreno Atilio
Department of Emergency Medicine, Pontifical Xavierian University, Bogotá D.C, Colombia.
Department of Surgery, Hospital Universitario San Ignacio, Pontifical Xavierian University, Bogotá D.C, Colombia.
Emerg (Tehran). 2014 Summer;2(3):141-3.
This is a case report of foreign body ingestion in a suicide attempt resulting in gastric perforation and phlegmon formation during a subsequent 6 month period that eventually required surgical intervention. The patient had a prolonged course because she did not report a history of foreign body ingestion and the initial evaluating physicians had no suspicion about possible foreign body ingestion and may have missed important findings on physical examination. Gastric perforation by a foreign object may have a slow course rather than presenting acute abdomen. The realization of a proper physical examination in the emergency department is key to an accurate diagnosis.
这是一例自杀未遂时吞入异物导致胃穿孔并在随后6个月内形成蜂窝织炎，最终需要手术干预的病例报告。患者病程迁延，因为她未提及吞入异物史，最初的评估医生也未怀疑可能存在异物吞入，且可能在体格检查中遗漏了重要发现。异物导致的胃穿孔可能病程进展缓慢，而非表现为急腹症。在急诊科进行恰当的体格检查是准确诊断的关键。
