Gordon Hannah, Cousins Benjamin J, Newberry Mark A, Farcy David A
Department of Emergency Medicine, Mount Sinai Medical Center, Miami Beach, Florida, USA.
South Florida Hand Surgery, Miami Beach, FL, USA.
Case Rep Emerg Med. 2021 Mar 9;2021:8841234. doi: 10.1155/2021/8841234. eCollection 2021.
A 17-year-old male presented to our ED complaining of pain and swelling at the base of the first metacarpal after attempting to remove a catfish from his fishing line 12 hours prior to arrival. Radiographic images demonstrated a foreign body (FB), which was detectable by ultrasound. Hand surgery was consulted and took the patient to the operating room for exploration and removal of two serrated radiopaque catfish spines that were deeply embedded in the left thumb. . Penetrating injury from hardhead catfish () spines can cause hidden FB, envenomation, infection, and secondary damage to nearby structures. Imaging should be done for these patients to ensure they obtain timely and complete extraction of the venomous structures. Surgery should be consulted for operative management to avoid damage on removal of the catfish spine remnants.
一名17岁男性在到达急诊室前12小时试图从钓线上取下鲶鱼时，出现第一掌骨基部疼痛和肿胀。影像学检查显示有异物，超声可检测到。咨询了手外科医生，随后将患者送往手术室进行探查，取出了两根深深嵌入左手拇指的锯齿状不透射线的鲶鱼棘刺。硬头鲶鱼的棘刺造成的穿透伤可导致隐藏的异物、中毒、感染以及对附近结构的继发性损伤。应对这些患者进行影像学检查，以确保及时、完整地取出有毒结构。应咨询外科医生进行手术处理，以避免在取出鲶鱼棘刺残余物时造成损伤。
