Mitsui Ema, Inaba Mototaka, Mimura Tetsushige
Department of Surgery, Okayama Saiseikai General Hospital, 2-25 Kokutaicho, kita-ku, Okayama 7008511, Japan.
Department of Surgery, Okayama Saiseikai General Hospital, Japan.
Int J Surg Case Rep. 2018;51:130-133. doi: 10.1016/j.ijscr.2018.08.016. Epub 2018 Aug 13.
Cases of a foreign body ingestion often require surgical treatment due to perforation or penetration. There is a possibility that plastic bread bag clips also cause serious adverse events when they are ingested.
We report a rare case of peritonitis with small intestinal perforation caused by a plastic bread bag clip that needed surgical treatment. A 47-year-old man was taken to our hospital because of abdominal distension and vomiting. A computed tomography test demonstrated findings of small intestinal perforation, and a high-density object was seen in the jejunum. During emergency surgery, it was discovered that a plastic bread bag clip had caused the perforation.
Some cases of gastrointestinal tract perforation or bleeding due to the ingestion of bread bag clips have been reported overseas. Because bread bag clips are normally radiolucent, they are impossible to discover when accidentally ingested, so diagnosis is difficult unless the patient remembers the incident. The shape of plastic bread bag clips is unique and can result in a trap-like effect, which prevents easy removal once ingested.
Bread bag clips need caution in handling, and in cases of accidental ingestion, careful observations should be made to allow for removal within reach of upper GI endoscopy. The following case report has been reported in line with the SCARE criteria [1].
异物摄入病例常因穿孔或穿透而需要手术治疗。塑料面包袋夹被摄入时也有可能引发严重不良事件。
我们报告一例罕见的由塑料面包袋夹导致小肠穿孔并引发腹膜炎的病例，该病例需要手术治疗。一名47岁男性因腹胀和呕吐被送往我院。计算机断层扫描检查显示小肠穿孔的迹象，在空肠中可见一个高密度物体。在急诊手术中，发现是一个塑料面包袋夹导致了穿孔。
国外已报道了一些因摄入面包袋夹导致胃肠道穿孔或出血的病例。由于面包袋夹通常是不透射线的，意外摄入时无法发现，所以除非患者记得此事，否则诊断很困难。塑料面包袋夹的形状独特，可能会产生类似陷阱的效果，一旦摄入就难以轻易取出。
处理面包袋夹时需谨慎，若发生意外摄入，应仔细观察，以便在上消化道内镜可及范围内取出。以下病例报告是按照SCARE标准[1]报告的。
