Yoshioka Takahiro, Iwamuro Masaya, Takeda Haruo, Fujiwara Toshiyoshi
Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
Department of Surgery, Takeda Hospital, Japan.
Intern Med. 2018 Sep 1;57(17):2497-2500. doi: 10.2169/internalmedicine.0751-17. Epub 2018 Mar 30.
A 67-year-old woman underwent esophagogastroduodenoscopy to determine the cause of her prolonged epigastric pain. During the examination, a sharp-pointed foreign body was observed; the edge of the object had been embedded in the gastric wall. The object was removed via an endoscope, and the patients' symptoms improved immediately. Based on a dietary history and an electron microscope examination, we identified the object as a stem of mizuna, a potherb mustard. Our report indicates that commonly eaten leafy green vegetables can act as sharp-pointed foreign bodies with the potential to injure the upper gastrointestinal tract.
一名67岁女性接受了食管胃十二指肠镜检查，以确定其长期上腹部疼痛的原因。检查过程中，发现了一个尖锐的异物；该物体的边缘已嵌入胃壁。通过内窥镜取出了该物体，患者的症状立即得到改善。根据饮食史和电子显微镜检查，我们确定该物体为水菜（一种叶用芥菜）的茎。我们的报告表明，常见的绿叶蔬菜可能会成为尖锐的异物，有损伤上消化道的潜在风险。
