Gambaracci Giulio, Mecarini Eleonora, Franceschini Maria Silvia, Scialpi Michele
Department of Surgical and Biomedical Sciences, Division of Radiology 2, Perugia University, Santa Maria della Misericordia Hospital, Perugia, Italy.
Department of Surgical and Biomedical Sciences, Division of Radiology 1, Santa Maria della Misericordia Hospital, Perugia, Italy.
Case Rep Gastroenterol. 2016 May 19;10(1):121-6. doi: 10.1159/000444519. eCollection 2016 Jan-Apr.
The majority of accidentally ingested foreign bodies is excreted from the gastrointestinal (GI) tract without any complications. Sometimes sharp foreign bodies - like chicken and fish bones - can lead to intestinal perforation and may present insidiously with a wide range of symptoms and, consequently, different diagnoses. We report the case of a 59-year-old woman presenting with fever and a 1-month history of vague abdominal pain. Computed tomography (CT) showed the presence of a hyperdense linear image close to the gastric antrum surrounded by a fluid collection and free peritoneal air. At laparotomy, a 4-cm rabbit bone fragment covered in inflamed tissue was detected next to a gastric wall perforation. Rabbit bone fragment ingestion, even if rarely reported, should not be underestimated as a possible cause of GI tract perforation.
大多数意外摄入的异物可从胃肠道排出，且无任何并发症。有时尖锐的异物——如鸡骨和鱼骨——可导致肠穿孔，并可能隐匿地出现多种症状，进而导致不同的诊断结果。我们报告一例59岁女性患者，有发热症状，伴有1个月的腹部隐痛病史。计算机断层扫描（CT）显示胃窦附近有一个高密度线性影像，周围有液体积聚和游离腹腔积气。剖腹手术时，在胃壁穿孔旁发现一块4厘米长、被发炎组织包裹的兔骨碎片。即使兔骨碎片摄入的病例很少报道，但作为胃肠道穿孔的一个可能原因也不应被低估。
