Izumi Junichi, Satoh Kimihiko, Iwasaki Wataru, Miura Takaya, Fujimori Shusei
Department of Radiology, Yokote Municipal Hospital, Japan.
Intern Med. 2017;56(6):657-660. doi: 10.2169/internalmedicine.56.7463. Epub 2017 Mar 17.
We present a case in which the accidental ingestion of a toothpick caused duodenal perforation and small intestinal obstruction. A 58-year-old man visited our emergency room with acute abdominal pain. Computed tomography (CT) showed obstructive ileus as well as a foreign body penetrating the duodenum, which was identified as a toothpick and removed endoscopically. Unenhanced CT was superior in detecting the object. The patient has been doing well since the operation.
我们报告一例因意外吞食牙签导致十二指肠穿孔和小肠梗阻的病例。一名58岁男性因急性腹痛前来我院急诊室就诊。计算机断层扫描(CT)显示肠梗阻以及一个穿透十二指肠的异物,经确认该异物为牙签并通过内镜取出。平扫CT在检测该物体方面表现更优。患者术后情况良好。