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一例因异物误吞导致腹膜后病变的超声诊断病例。

A case of ultrasound diagnosis of retroperitoneal lesion caused by unnoticed foreign body ingestion.

作者信息

Tynecki Wojciech, Tynecki Andrzej, Grobelna Agata, Baranowski Tomasz, Siemiaszko Grzegorz, Łapiński Tomasz, Wilczek Julia

机构信息

Gastroenterology Ward, L. Rydygier Provincial Hospital , Suwałki , Poland.

E. Rittler District Hospital , Sejny , Poland.

出版信息

J Ultrason. 2020;20(81):e151-e153. doi: 10.15557/JoU.2020.0024. Epub 2020 Jun 15.

Abstract

We report the case of a 52-year-old patient who was initially admitted to the District Hospital's Surgery Ward with strong abdominal pain. The patient's medical history before the hospitalization was unremarkable. The man did not recall any worrisome situations before the onset of pain. During the hospital stay, he underwent an ultrasound scan, computed tomography and magnetic resonance imaging evaluations, and laboratory tests suggesting that paraduodenal abscess or gastrointestinal stromal tumor should be considered. The patient was referred to the provincial hospital in order to undergo endoscopic ultrasonography. This was when a retroperitoneal foreign body, a toothpick, was found and removed. We report the case of a 52-year-old patient who was initially admitted to the District Hospital’s Surgery Ward with strong abdominal pain. The patient’s medical history before the hospitalization was unremarkable. The man did not recall any worrisome situations before the onset of pain. During the hospital stay, he underwent an ultrasound scan, computed tomography and magnetic resonance imaging evaluations, and laboratory tests suggesting that paraduodenal abscess or gastrointestinal stromal tumor should be considered. The patient was referred to the provincial hospital in order to undergo endoscopic ultrasonography. This was when a retroperitoneal foreign body, a toothpick, was found and removed.

摘要

我们报告了一例52岁患者的病例,该患者最初因剧烈腹痛入住地区医院外科病房。患者住院前的病史无异常。该男子在疼痛发作前未回忆起任何令人担忧的情况。住院期间,他接受了超声扫描、计算机断层扫描和磁共振成像评估以及实验室检查,结果提示应考虑十二指肠旁脓肿或胃肠道间质瘤。该患者被转诊至省级医院以接受内镜超声检查。就在此时,发现并取出了一个腹膜后异物——一根牙签。我们报告了一例52岁患者的病例,该患者最初因剧烈腹痛入住地区医院外科病房。患者住院前的病史无异常。该男子在疼痛发作前未回忆起任何令人担忧的情况。住院期间,他接受了超声扫描、计算机断层扫描和磁共振成像评估以及实验室检查,结果提示应考虑十二指肠旁脓肿或胃肠道间质瘤。该患者被转诊至省级医院以接受内镜超声检查。就在此时,发现并取出了一个腹膜后异物——一根牙签。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4dc/7409540/b98d9937b918/jou-20-81-e151-g001.jpg

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