Suppr超能文献

无需手术干预成功治疗吞食石膏后形成的胃内粪石和口腔内异物:一例报告

Gastric bezoar and intraoral foreign body after plaster ingestion successfully treated without surgical intervention: a case report.

作者信息

Ahn Gyo Jin, Cha Yong Sung

机构信息

Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.

出版信息

Clin Exp Emerg Med. 2022 Jun;9(2):146-149. doi: 10.15441/ceem.20.033. Epub 2022 Jun 30.

Abstract

Some cases of plaster ingestion include the occurrence of gastrointestinal obstruction that requires surgery. To date, there are no reports on the treatment of plaster lesions in the mouth. A 50-year-old woman was referred to the emergency department after intentionally drinking a solution of approximately 100 g of plaster powder in 250 mL of water, 3 hours earlier. On arrival, the patient was alert but unable to speak because the plaster had hardened in her mouth. Hardened plaster was also found in her stomach. There was no evidence of acute gastrointestinal obstruction on abdominal computed tomography; we therefore decided to perform surgical observation. The intraoral plaster lesions were successfully removed using forceps, and the plaster bezoar was successfully eliminated without surgical treatment. The present case shows that not all patients with plaster poisoning require surgery; the patient's conditions, such as gastrointestinal obstruction, should indicate the course of treatment.

摘要

一些摄入石膏的病例包括出现需要手术治疗的胃肠道梗阻。迄今为止,尚无关于口腔内石膏损伤治疗的报道。一名50岁女性在3小时前故意饮用了约100克石膏粉溶于250毫升水中的溶液后被送往急诊科。到达时,患者意识清醒,但因石膏在口腔内硬化而无法说话。在其胃内也发现了硬化的石膏。腹部计算机断层扫描未发现急性胃肠道梗阻的证据;因此,我们决定进行手术观察。使用镊子成功移除了口腔内的石膏损伤,且未进行手术治疗便成功消除了石膏团块。本病例表明,并非所有石膏中毒患者都需要手术;患者的病情,如胃肠道梗阻情况,应指示治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c839/9288885/e47eb1a3107e/ceem-20-033f1.jpg

相似文献

1
2
Gastrointestinal obstruction due to plaster ingestion: a case-report.
BMC Surg. 2006 Feb 16;6:4. doi: 10.1186/1471-2482-6-4.
3
Unusual acute formed gastric bezoars due to plaster ingestion successfully treated by gastric irrigation: report of two cases.
Emerg Radiol. 2008 Sep;15(5):357-9. doi: 10.1007/s10140-007-0684-z. Epub 2007 Nov 29.
4
Recurrent gastric metal bezoar: a rare cause of gastric outlet obstruction.
BMJ Case Rep. 2017 Sep 27;2017:bcr-2017-221928. doi: 10.1136/bcr-2017-221928.
5
Acute esophageal obstruction after ingestion of psyllium seed husk powder: A case report.
World J Clin Cases. 2022 Mar 6;10(7):2336-2340. doi: 10.12998/wjcc.v10.i7.2336.
6
Surgical Management of Massive Metal Bezoar.
Cureus. 2021 Jan 9;13(1):e12597. doi: 10.7759/cureus.12597.
7
Small Bowel Obstruction Secondary to a Metamucil Bezoar: Case Report and Review of the Literature.
Case Rep Surg. 2017;2017:2702896. doi: 10.1155/2017/2702896. Epub 2017 Sep 20.
8
Obstruction in the third portion of the duodenum due to a diospyrobezoar: a case report.
BMC Surg. 2017 Nov 29;17(1):117. doi: 10.1186/s12893-017-0308-9.
10
Bowel obstruction following ingestion of superabsorbent polymers beads: literature review.
Clin Toxicol (Phila). 2022 Feb;60(2):159-167. doi: 10.1080/15563650.2021.1987452. Epub 2021 Oct 15.

本文引用的文献

1
Radiopaque Stomach-Shaped Bezoar in a Suicidal Patient.
Dysphagia. 2016 Jun;31(3):484-5. doi: 10.1007/s00455-015-9677-3. Epub 2015 Dec 22.
2
Plaster ingestion for suicidal attempt: A rare cause of gastric bezoar.
Turk J Gastroenterol. 2014 Dec;25 Suppl 1:231-2. doi: 10.5152/tjg.2014.5265.
3
Unusual acute formed gastric bezoars due to plaster ingestion successfully treated by gastric irrigation: report of two cases.
Emerg Radiol. 2008 Sep;15(5):357-9. doi: 10.1007/s10140-007-0684-z. Epub 2007 Nov 29.
4
Gastrointestinal obstruction due to plaster ingestion: a case-report.
BMC Surg. 2006 Feb 16;6:4. doi: 10.1186/1471-2482-6-4.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验