术前无阳性体征的鱼骨致黏膜下隆起：1例报告
Submucosal protuberance caused by a fish bone in the absence of preoperative positive signs: A case report.
作者信息
Du Wei-Wei, Huang Tao, Yang Guo-Dong, Zhang Jing, Chen Jing, Wang Ying-Bang
机构信息
Department of Gastroenterology, The Third People's Hospital of Chengdu, The Affiliated Hospital of Southwest Jiaotong University, Chengdu, 610000, Sichuan Province, China.
Department of Gastroenterology and Hepatology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China.
出版信息
World J Clin Cases. 2022 Feb 16;10(5):1586-1591. doi: 10.12998/wjcc.v10.i5.1586.
BACKGROUND
Submucosal protuberance caused by fish bone insertion into the digestive tract has rarely been reported. These cases usually include patients with clear signs such as a history of fish intake, pain, and dysphagia, as well as positive findings on endoscopy and imaging. Here, we report a case of a fish bone hidden in the submucosal protuberance of the gastric antrum during endoscopic submucosal dissection without preoperative obvious positive signs.
CASE SUMMARY
A 58-year-old woman presented with epigastric pain for the past 20 d and a submucosal protuberance. Abdominal computed tomography and endoscopic ultrasonography did not indicate the presence of a fish bone. We assumed the cause to be an ordinary submucosal eminence and performed an endoscopic submucosal dissection to confirm its essence. During the operation, a fish bone approximately 20 mm in length was found incidentally.
CONCLUSION
Our report could potentially prevent the oversight of embedded fish bones and associated adverse effects in patients with similar presentation.
背景
鱼骨插入消化道导致的黏膜下隆起鲜有报道。这些病例通常包括有明确体征的患者，如吃鱼史、疼痛和吞咽困难，以及在内镜检查和影像学检查中有阳性发现。在此，我们报告一例在内镜黏膜下剥离术中发现胃窦黏膜下隆起内隐藏鱼骨的病例，术前无明显阳性体征。
病例摘要
一名58岁女性，过去20天出现上腹部疼痛，伴有黏膜下隆起。腹部计算机断层扫描和内镜超声检查未提示鱼骨存在。我们认为病因是普通的黏膜下隆起，并进行了内镜黏膜下剥离术以明确其本质。术中偶然发现一根长约20毫米的鱼骨。
结论
我们的报告可能有助于防止对有类似表现患者中嵌入鱼骨的漏诊及相关不良反应。
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