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从消化道到输尿管的木质牙签的神秘迁移:病例报告和诊断要点。

Mysterious ureteral migration of a wooden toothpick from the digestive tract: case report and diagnostic considerations.

机构信息

Hospital São Luiz Jabaquara, Rede D'Or São Luiz, São Paulo, SP, Brazil.

Centro Universitário FMABC, Santo André, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2022 Feb 7;20:eRC5743. doi: 10.31744/einstein_journal/2022RC5743. eCollection 2022.

DOI:10.31744/einstein_journal/2022RC5743
PMID:35137797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8809650/
Abstract

Migration of foreign bodies into the urinary tract is a rare event. In certain instances, to unravel the way that objects arrived in the urinary tract is not easy. We report the case of an accidentally swallowed wooden toothpick that migrated and was found in the left ureterovesical junction, protruding into the bladder. Even though the computed tomography scan is widely employed to evaluate the urinary tract, this resource does not have a good sensitivity for detecting foreign bodies. Our report presents an insight into the best imaging approach if wooden toothpicks are suspected. In the present case, the endoscopic treatment was possible with an uneventful outcome and a complete resolution of symptoms.

摘要

异物迁移进入泌尿道是一种罕见的事件。在某些情况下,要弄清楚物体进入泌尿道的途径并不容易。我们报告了一个意外吞下的木制牙签迁移并在左输尿管膀胱交界处发现,突入膀胱的病例。尽管计算机断层扫描广泛用于评估泌尿道,但该方法对外来异物的敏感性并不高。我们的报告提供了一个思路,如果怀疑是木制牙签,最好的影像学检查方法是什么。在本病例中,采用内镜治疗,结果无并发症,症状完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17f4/8809650/63af1ed2fee3/2317-6385-eins-20-eRC5743-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17f4/8809650/5b4abe1c51a8/2317-6385-eins-20-eRC5743-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17f4/8809650/63af1ed2fee3/2317-6385-eins-20-eRC5743-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17f4/8809650/5b4abe1c51a8/2317-6385-eins-20-eRC5743-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17f4/8809650/63af1ed2fee3/2317-6385-eins-20-eRC5743-gf02.jpg

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本文引用的文献

1
Foreign Bodies in the Abdominal Area: Review of the Literature.腹部区域的异物:文献综述
Acta Medica (Hradec Kralove). 2019;62(3):85-93. doi: 10.14712/18059694.2019.130.
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[Foreign-Body Ingestion: A Rare Cause of Abdominal Pain].
Dtsch Med Wochenschr. 2018 Jan;143(1):36-39. doi: 10.1055/s-0043-122086. Epub 2018 Jan 9.
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Retrospective review of surgical management of foreign body ingestion.异物摄入手术治疗的回顾性研究。
Med J Malaysia. 2009 Dec;64(4):307-10.
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Duodenal perforation and right hydronephrosis due to toothpick ingestion.因误食牙签导致十二指肠穿孔和右肾积水。
J Emerg Med. 2008 Jan;34(1):55-7. doi: 10.1016/j.jemermed.2006.11.014. Epub 2007 Jun 14.
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Toothpick injury mimicking renal colic: case report and systematic review.牙签损伤酷似肾绞痛:病例报告及系统评价
J Emerg Med. 2002 Jul;23(1):35-8. doi: 10.1016/s0736-4679(02)00458-4.
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Clinical management of foreign bodies of the genitourinary tract.泌尿生殖道异物的临床管理
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Perinephric abscess associated with ureteral foreign body.
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Toothpick obstruction of the ureter.牙签导致的输尿管梗阻
J Urol. 1988 Jan;139(1):114-5. doi: 10.1016/s0022-5347(17)42311-1.