Lin Nan, Lin Li, Wu Weihang, Yang Weijin, Cai Zhicong, Hong Jie, Wang Yu
Department of General Surgery, Dongfang Hospital, Xiamen University Department of General Surgery, Fuzhou General Hospital Clinical Institute of Fuzhou General Hospital, Fujian Medical University, Fuzhou, Fujian, China.
Medicine (Baltimore). 2018 Feb;97(5):e9710. doi: 10.1097/MD.0000000000009710.
Foreign-body ingestion is a common phenomenon and foreign bodies are mostly excreted in stool. Once sharp bodies are ingested without being realized, perforation of intestine is possible and misdiagnosis may be made. We report 2 toothpick ingestion cases that were both diagnosed accurately.
We present 2 cases of middle-aged persons who suffered from abdominal pain. They did not realize and provide any information of having the history of swallowing foreign bodies.
No serious problem was discovered in the examination and blood test. There were somewhere abnormal in computed tomography (CT) images and ultrasound (US). Then a toothpick was found penetrating the wall of intestine into the adjacent viscera in the laparotomy.
Both patients in the 2 cases were undergone operation to remove the toothpicks.
The 2 cases' prognoses were good.
When accepting patients with abdominal pain, suitable examining means and careful observation should be given to find easily ignored lesions. CT is recommended in the diagnostic process of swallowed foreign mass. When there is a vague place, US can be used for further diagnose.
异物摄入是一种常见现象，异物大多随粪便排出。一旦误食尖锐物体而未被察觉，就有可能导致肠道穿孔，且可能会误诊。我们报告2例牙签摄入病例，均被准确诊断。
我们呈现2例中年腹痛患者。他们没有意识到且未提供任何吞咽异物史的信息。
检查和血液检测未发现严重问题。计算机断层扫描（CT）图像和超声（US）检查有异常。随后在剖腹手术中发现一根牙签穿透肠壁进入相邻脏器。
2例患者均接受手术取出牙签。
2例患者预后良好。
接诊腹痛患者时，应采用合适的检查手段并仔细观察，以发现易被忽视的病变。在诊断吞咽异物时建议使用CT。当有不明确之处时，可使用超声进一步诊断。
