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一名患有食管裂孔疝的患者食管内的异物(牙刷)

A Foreign Body (Toothbrush) in the Esophagus of a Patient with Hiatal Hernia.

作者信息

Klancnik Marisa, Grgec Maja, Perković Nikola, Ivanišević Petar, Poljak Nikola Kolja

机构信息

aClinical Department for Ear Nose and Throat, Split University Hospital Center, Split, Croatia.

bClinical Department for Internal Medicine, Division of Gastroenterology, Split University Hospital Center, Split, Croatia.

出版信息

Case Rep Gastroenterol. 2017 Apr 10;11(1):184-189. doi: 10.1159/000464277. eCollection 2017 Jan-Apr.

Abstract

Toothbrush ingestion is rare and most commonly seen in patients with psychiatric comorbidities and in young women with a medical history of eating disorders who try to induce emesis. Long ingested objects, such as a toothbrush, cannot pass the gastrointestinal tract spontaneously and require endoscopic removal or even a surgical approach in cases of unsuccessful endoscopic removal or complication development. We present a case of a 71-year-old male with hiatal hernia without psychiatric or neurological comorbidity who accidentally ingested a toothbrush during oral hygiene routine. After X-ray confirmation, the toothbrush was removed endoscopically.

摘要

牙刷误食情况罕见,多见于伴有精神疾病的患者以及有饮食失调病史且试图催吐的年轻女性。像牙刷这类被长期吞食的物体无法自行通过胃肠道,若内镜取出失败或出现并发症,则需要采取手术方法。我们报告一例71岁男性病例,该患者患有食管裂孔疝,无精神或神经方面的合并症,在日常口腔卫生护理时意外吞食了一把牙刷。经X线确认后,通过内镜取出了牙刷。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2567/5422728/644ab8c1ba15/crg-0011-0184-g01.jpg

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