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巨大金属粪石的手术治疗

Surgical Management of Massive Metal Bezoar.

作者信息

AlMuhsin Ahmed M, Alsalman Fatima, Bubshait Ahmad, Abu Hajar Rami O

机构信息

Department of General Surgery, Security Forces Hospital, Dammam, SAU.

出版信息

Cureus. 2021 Jan 9;13(1):e12597. doi: 10.7759/cureus.12597.

Abstract

Ingestion of foreign bodies is common within the pediatric population; in adults, it occurs more commonly in those with a psychiatric background. Diagnosis of such cases can be readily made based on plain abdominal X-rays. As reported, many foreign bodies pass through the gastrointestinal tract without complications, obstruction, bleeding, and perforation. The ultimate decision of the best management approach for such cases should be made based on the available expertise as well as the patient's specific factors. Observation, endoscopic removal, and surgical intervention are all acceptable approaches in cases of metal foreign body ingestion. We report a case of a 29-year-old male patient brought to the emergency department following ingestion of multiple sharp nails. He underwent surgical exploration, which resulted in the retrieval of 73 metallic nails.

摘要

吞食异物在儿科人群中很常见;在成人中,吞食异物在有精神病史的人群中更为常见。此类病例的诊断可根据腹部平片轻松做出。据报道,许多异物可通过胃肠道而不出现并发症、梗阻、出血和穿孔。对于此类病例,最佳治疗方法的最终决定应基于现有的专业知识以及患者的具体因素。在金属异物吞食病例中,观察、内镜取出和手术干预都是可接受的方法。我们报告一例29岁男性患者,因吞食多根尖锐钉子被送往急诊科。他接受了手术探查,结果取出了73根金属钉子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d82/7797438/cf5ba5483a2f/cureus-0013-00000012597-i01.jpg

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