Dural Ahmet Cem, Çelik Muhammet Ferhat, Yiğitbaş Hakan, Akarsu Cevher, Doğan Mahmut, Alış Halil
Department of General Surgery, Bakirköy Dr. Sadi Konuk Training and Research Hospital, İstanbul-Turkey.
Ulus Travma Acil Cerrahi Derg. 2016 Nov;22(6):572-574. doi: 10.5505/tjtes.2016.88137.
Presently described is case of a 52-year-old man who was admitted to the emergency department with 3-day history of epigastric pain. Abdominal examination revealed diffuse tenderness and muscle guarding. Plain abdominal X-ray showed free subdiaphragmatic air. The patient underwent diagnostic laparoscopy with presumptive diagnosis of peptic ulcer perforation. Laparoscopy showed several inflamed, edematous jejunal loops with proximal obstruction and perforation by an impacted fish bone. Completely intracorporeal resection and anastomosis using laparoscopic linear stapler was performed and segment of resected bowel was removed through trocar site. Postoperative period was uneventful, and the patient was discharged on fourth day.
目前报道的是一名52岁男性患者的病例，该患者因上腹部疼痛3天被收入急诊科。腹部检查发现弥漫性压痛和肌紧张。腹部平片显示膈下游离气体。患者接受了诊断性腹腔镜检查，初步诊断为消化性溃疡穿孔。腹腔镜检查发现几段空肠发炎、水肿，近端梗阻，并有一根鱼刺嵌顿导致穿孔。使用腹腔镜线性吻合器进行了完全体内切除和吻合，并通过套管针部位取出了切除的肠段。术后恢复顺利，患者于第四天出院。
