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11 岁男孩因胃食管反流病就诊时发现隐藏良好的食管异物:病例报告。

A well-hidden esophageal foreign body in an 11-year-old boy treated for gastroesophageal reflux disease: a case report.

机构信息

2 Department of Paediatrics Surgery, Aristotle University of Thessaloniki, "Papageorgiou" General Hospital, Thessaloniki, Greece.

4 Department of Paediatrics, Aristotle University of Thessaloniki, "Papageorgiou" General Hospital, Thessaloniki, Greece.

出版信息

Pan Afr Med J. 2022 Jun 30;42:165. doi: 10.11604/pamj.2022.42.165.34154. eCollection 2022.

DOI:10.11604/pamj.2022.42.165.34154
PMID:36187040
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9482217/
Abstract

Symptoms of gastroesophageal reflux disease (GERD) in children with developmental disorders could be often confusing. Especially when considering accidental foreign body ingestion, with no acute signs or symptoms of choking. We hereby present a case of an 11-year-old male with a well-hidden esophageal foreign body who was already treated for GERD and finally diagnosed with a hidden foreign esophageal object, ingested 12 months ago. Ingestion of objects of any kind, especially in certain groups of children, must always raise high suspicion for the clinical pediatric specialties, regardless of the presence or absence of classic symptoms.

摘要

发育障碍儿童的胃食管反流病(GERD)症状可能经常令人困惑。特别是在考虑意外异物摄入时,没有明显的窒息急性症状或体征。我们在此介绍 1 例 11 岁男性患者,其食管异物隐匿,曾被误诊为 GERD,最终诊断为 12 个月前吞食的隐匿性食管异物。任何类型的异物摄入,特别是在某些儿童群体中,无论是否存在典型症状,都应引起临床儿科专业的高度怀疑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cb5/9482217/140cbe67a9d6/PAMJ-42-165-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cb5/9482217/4291048b0916/PAMJ-42-165-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cb5/9482217/140cbe67a9d6/PAMJ-42-165-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cb5/9482217/4291048b0916/PAMJ-42-165-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cb5/9482217/140cbe67a9d6/PAMJ-42-165-g002.jpg

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本文引用的文献

1
Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery.神经功能受损儿童的异物摄入:小儿外科中具有挑战性的诊断与处理
Children (Basel). 2021 Oct 23;8(11):956. doi: 10.3390/children8110956.
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Neglected foreign body in oesophagus with an unusual presentation: A case report.食管内被忽视的异物伴不寻常表现:一例病例报告。
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Foreign body ingestion in children.儿童误吞异物
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Management of foreign bodies in the esophagus.食管异物的处理
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