Craig Michael A, Kay Carl, Wells Thomas B, Barnes Maurice C
Internal Medicine, Brooke Army Medical Center, San Antonio, USA.
Gastroenterology, Brooke Army Medical Center, San Antonio, USA.
Cureus. 2021 Dec 21;13(12):e20581. doi: 10.7759/cureus.20581. eCollection 2021 Dec.
Foreign body ingestion is a common consultation for gastroenterologists. Without knowing the object(s) ingested, the differential diagnosis is broad, especially in patients with underlying mental health conditions, such as uncontrolled bipolar disorder, prior suicide attempts, or recreational drug use. The differential should include substances taken with suicidal intent or for concealment of illicit drugs. Certain foreign objects may require urgent or emergent endoscopic intervention. However, one should also consider benign, iatrogenic causes such as large, radiolucent potassium pills given in the emergency department, which do not require further intervention or hospitalization.
异物摄入是胃肠病学家常见的会诊问题。在不知道摄入的物体是什么的情况下,鉴别诊断范围很广,尤其是对于有潜在心理健康问题的患者,如未控制的双相情感障碍、既往有自杀未遂史或有娱乐性药物使用史的患者。鉴别诊断应包括有自杀意图或用于隐藏非法药物而摄入的物质。某些异物可能需要紧急或急诊内镜干预。然而,也应考虑良性的医源性原因,如急诊科给予的大的、不透射线的钾片,这类情况不需要进一步干预或住院治疗。