Chen Xiubing, Huang Aihua, Yang Lijian, Qin Shanyu
Department of Gastroenterology, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, China.
Department of Paediatric Surgery, The Tenth Affiliated Hospital of Guangxi Medical University, Qinzhou, 535000, China.
Ann Med Surg (Lond). 2021 Oct 30;71:102979. doi: 10.1016/j.amsu.2021.102979. eCollection 2021 Nov.
Foreign body (FB) ingestion is an emergency that is more common in children and adults with mental disorders. A wide array of FBs can be ingested, and most of them do not need to be treated. However, if the FB blocks the digestive tract or causes damage, it needs to be removed by endoscopy or even surgery.We describe here a stomach full of FBs, but these FBs did not cause serious damage.
A 9-year-old male child with mental retardation suffered abdominal pain after swallowing FBs. X-ray and computed tomography (CT) found a large number of FBs of different shapes. We tried to remove them under endoscopy but failed; we then changed to laparotomy and removed a large number of FBs. The patient started normal feeding on the 4th day and was discharged home.
FB ingestion is very common. Symptoms are used to determine whether further treatment, which is usually feasible, is required. However, for patients who cannot accurately describe the ingestion of FBs, such as children, patients with mental disorders, and patients who are inebriated, FBs should still be treated with caution, especially when the clinical symptoms and related examinations are not typical, and adequate plans should be made, as shown in this case. There may be unexpected discoveries.
异物吞食是一种紧急情况，在患有精神障碍的儿童和成人中更为常见。可以吞食各种各样的异物，其中大多数不需要治疗。然而，如果异物阻塞消化道或造成损伤，则需要通过内窥镜检查甚至手术取出。我们在此描述一例胃内充满异物但这些异物未造成严重损伤的病例。
一名9岁智力发育迟缓男童吞食异物后出现腹痛。X线和计算机断层扫描（CT）发现大量形状各异的异物。我们试图在内镜下取出异物，但未成功；随后改为剖腹手术，取出大量异物。患者于术后第4天开始正常进食并出院回家。
异物吞食非常常见。通常根据症状来确定是否需要进一步治疗，这通常是可行的。然而，对于无法准确描述异物吞食情况的患者，如儿童、精神障碍患者和醉酒患者，仍应谨慎对待异物，尤其是当临床症状和相关检查不典型时，应制定充分的计划，如此病例所示。可能会有意外发现。
