Bays-Muchmore Coral, Sims Deion T, Gross Joel A, Ilgen Jonathan S
University of Washington School of Medicine, Seattle, Washington.
University of Washington School of Medicine, Department of Radiology, Seattle, Washington.
Clin Pract Cases Emerg Med. 2021 Feb;5(1):129-130. doi: 10.5811/cpcem.2020.12.50196.
A 35-year-old woman presented to the emergency department with severe right inguinal pain. Her medical history was non-contributory and there was no known trauma or injury to the region. Amid concern for an incarcerated inguinal hernia, a computed tomography was obtained revealing a linear foreign body (FB) lateral to the femoral vessels. The FB was removed without complication at bedside and found to be a beading needle likely occultly lodged three days prior.
Occult inguinal FBs are rare but can lead to deep venous thrombosis or pulmonary embolism if in or near vessels. By nature of being occult, an absence of ingestion, insertion, or penetrative history should not preclude consideration of a FB etiology. Computed tomography imaging is crucial in determining the urgency of, and approach to, inguinal foreign body removal.
一名35岁女性因右侧腹股沟剧痛就诊于急诊科。她的病史无特殊意义，该区域无已知的创伤或损伤。由于担心嵌顿性腹股沟疝，进行了计算机断层扫描，结果显示在股血管外侧有一个线性异物。在床边顺利取出该异物，发现是一根串珠针，可能在三天前隐匿性刺入。
隐匿性腹股沟异物很少见，但如果位于血管内或血管附近，可能会导致深静脉血栓形成或肺栓塞。由于其隐匿性，没有摄入、插入或穿透史并不排除考虑异物病因。计算机断层扫描成像对于确定腹股沟异物取出的紧迫性和方法至关重要。
