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鱼骨导致的小肠穿孔:一例报告。

Small bowel perforation due to fish bone: A case report.

作者信息

Pulat Huseyin, Karakose Oktay, Benzin Mehmet Fatih, Benzin Seyma, Cetin Recep

机构信息

Department of Surgical Oncology, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey.

Department of General Surgery, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey.

出版信息

Turk J Emerg Med. 2016 Jan 14;15(3):136-8. doi: 10.1016/j.tjem.2015.11.008. eCollection 2015 Sep.

Abstract

Accidental ingestion of foreign bodies are a common condition in clinical practice. However, small bowel perforation which dues to ingestion foreign bodies has been rarely seen. In this article, we report a case of small bowel perforation which dues to ingestion foreign body. A 80-year-old female patient, presenting with complaints of acute abdomen, was admitted to the emergency department. She denied abdominal pain, nausea and vomiting. The patient had tenderness and defense on the right lower quadrant. Contrast enhanced abdominal computed tomography has been used on the patient's diagnosis. This revealed small bowel perforation due to the ingestion of foreign body. The patient was operated emergency. A microperforation due to fish bone was detected on the terminal ileum. The patient underwent debridement and primary repair. The patient was discharged postoperative 7th day without problem. Bowel perforation due to the ingestion of foreign bodies should be considered in the differential diagnosis of acute abdomen.

摘要

意外摄入异物在临床实践中是一种常见情况。然而,因摄入异物导致的小肠穿孔却很少见。在本文中,我们报告一例因摄入异物导致小肠穿孔的病例。一名80岁女性患者,因急性腹痛入院急诊。她否认腹痛、恶心和呕吐。患者右下腹有压痛和反跳痛。腹部增强计算机断层扫描用于该患者的诊断。结果显示因摄入异物导致小肠穿孔。患者接受了急诊手术。在回肠末端发现一处因鱼骨导致的微小穿孔。患者接受了清创和一期修复。患者术后第7天顺利出院。在急性腹痛的鉴别诊断中应考虑因摄入异物导致的肠穿孔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee2/4878132/e1055dd4275e/gr1.jpg

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