Grassi V, Desiderio J, Cacurri A, Gemini A, Renzi C, Corsi Alessandro, Barillaro I, Parisi A
G Chir. 2016 Jul-Aug;37(4):158-161. doi: 10.11138/gchir/2016.37.4.158.
Foreign body ingestion is not an uncommon problem in clinical practice. While most ingested foreign bodies pass uneventfully through the gastrointestinal tract, sharp foreign bodies such as toothpicks should cause intestinal perforation. We reported the case of a perforation of the appendix caused by a toothpick, which also pierced the liver without hepatic damages, in a male with an intestinal malrotation and subhepatic appendix. The patient was admitted to our hospital for abdominal pain in the right upper quadrant. An abdominal computed tomography scan revealed the anomalous position of the first portion of the large intestine with inflamed appendix. A laparoscopic appendicectomy and the exploration of the abdominal cavity was performed using minimally invasive technique.
异物摄入在临床实践中并非罕见问题。虽然大多数摄入的异物会顺利通过胃肠道，但尖锐异物如牙签可能导致肠道穿孔。我们报告了一例由牙签导致阑尾穿孔的病例，该牙签还刺穿了肝脏但未造成肝损伤，患者为一名患有肠旋转不良和肝下阑尾的男性。患者因右上腹疼痛入院。腹部计算机断层扫描显示大肠起始段位置异常且阑尾发炎。采用微创技术进行了腹腔镜阑尾切除术并探查了腹腔。
