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误食骨头所致腹痛误诊为阑尾炎:1例罕见病例报告及文献复习

Abdominal pain from ingested bone misdiagnosed as appendicitis: Report of a rare case and literature review.

作者信息

Asaad Hoshman Rahman, Faraj Heero Ismael, Altom Ahmed, Ahmed Syamand Abdulrahman, Muhammad Bakhtyar Kamal, Rashid Muhammad Jabar, Aziz Jeza M Abdul, Khdhir Rebwar Hassan, Huy Nguyen Tien

机构信息

Baxshin Research Center, Baxshin Hospital, Sulaimani, Kurdistan Region, Iraq.

Kurdistan Center for Gastroenterology and Hepatology, Sulaimani, Kurdistan, Iraq.

出版信息

Radiol Case Rep. 2022 Aug 28;17(11):4111-4114. doi: 10.1016/j.radcr.2022.07.108. eCollection 2022 Nov.

DOI:10.1016/j.radcr.2022.07.108
PMID:36065240
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9439961/
Abstract

Bones are potential foreign bodies that could be accidentally ingested, leading to several symptoms varying from asymptomatic to perforation of the gastrointestinal tract. However, these cases are rare but may be misdiagnosed with other common diseases such as appendicitis. We present in this case a 25-year-old male who presented with appendicitis symptoms, after appendectomy the patient had the same complaint, But the colonoscopy demonstrated a meat bone in the terminal ileum and was removed with the same device. Finally, he was discharged from the hospital without complications and after decreasing abdominal pain. According to the literature review, this is one of the rare cases of using colonoscopy to treat bone impaction non-operatively.

摘要

骨骼是潜在的异物,可能会被意外吞食,导致从无症状到胃肠道穿孔等多种症状。然而,这些病例很少见,但可能会被误诊为阑尾炎等其他常见疾病。我们在此报告一例25岁男性患者,该患者表现出阑尾炎症状,阑尾切除术后仍有相同主诉,但结肠镜检查显示回肠末端有一块肉骨头,并使用同一设备将其取出。最后,患者在腹痛减轻后出院,无并发症。根据文献综述,这是罕见的非手术使用结肠镜治疗骨嵌塞的病例之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2871/9439961/1647bb254cfb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2871/9439961/7ac5d45f81a1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2871/9439961/2e5906571678/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2871/9439961/1647bb254cfb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2871/9439961/7ac5d45f81a1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2871/9439961/2e5906571678/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2871/9439961/1647bb254cfb/gr3.jpg

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本文引用的文献

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A Case Report on Fish Bone Perforating Meckel's Diverticulum Mimicking Appendicitis.一例鱼骨穿孔梅克尔憩室酷似阑尾炎的病例报告
Cureus. 2022 Feb 28;14(2):e22693. doi: 10.7759/cureus.22693. eCollection 2022 Feb.
2
Large trichobezoar associated with misdiagnosis, a rare case report with a brief literature review.巨大毛粪石伴误诊:一例罕见病例报告及文献综述
Int J Surg Case Rep. 2021 Nov;88:106551. doi: 10.1016/j.ijscr.2021.106551. Epub 2021 Nov 2.
3
Intestinal perforation caused by fishbone in a child with the misdiagnosis of acute appendicitis: A case report.
鱼刺致儿童肠穿孔误诊为急性阑尾炎1例报告
Clin Case Rep. 2021 Aug 6;9(8):e04584. doi: 10.1002/ccr3.4584. eCollection 2021 Aug.
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Fishbone-Induced Appendicitis: A Case Report.鱼骨致阑尾炎:一例报告
Cureus. 2021 May 13;13(5):e15003. doi: 10.7759/cureus.15003.
5
Renal Colic by Gastrointestinal Perforation: Endoscopic Approach.胃肠道穿孔所致肾绞痛:内镜治疗方法
GE Port J Gastroenterol. 2021 Apr;28(3):222-224. doi: 10.1159/000510033. Epub 2020 Sep 21.
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The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.SCARE 2020 指南:更新共识手术病例报告(SCARE)指南。
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
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Fatal haemorrhage from an aortoesophageal fistula secondary to button battery ingestion in a 15-month-old child. Case report and literature review.一名15个月大儿童因误吞纽扣电池继发主动脉食管瘘导致致命性出血。病例报告及文献综述。
Leg Med (Tokyo). 2020 Jul;45:101707. doi: 10.1016/j.legalmed.2020.101707. Epub 2020 Apr 15.
8
Appendicitis-mimicking presentation in fishbone induced microperforation of the distal duodenum: A case report.鱼刺致十二指肠远端微小穿孔酷似阑尾炎的表现:一例报告
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Medicine (Baltimore). 2019 Dec;98(50):e18111. doi: 10.1097/MD.0000000000018111.
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