大网膜肉芽肿性炎症由游走性鱼骨引起。
Granulomatous Inflammation of Greater Omentum Caused by a Migrating Fishbone.
机构信息
Department of Oncology, The People\'s Hospital of China Three Gorges University, Hubei, China.
Department of Urinary Surgery, Affiliated Hospital of Inner Mongolia University for the Nationalities, Tongliao, The Inner Mongolia Autonomous Region, China.
出版信息
J Coll Physicians Surg Pak. 2022 Aug;32(8):S124-S126. doi: 10.29271/jcpsp.2022.Supp2.S124.
Fishbone is the most common ingested gastrointestinal foreign matter and is less than 1% perforate. However, a fishbone penetrating the gastrointestinal tract and causing granulomatous inflammation of the greater omentum with local suppuration is not common. Because of the nonspecific clinical symptoms, gastrointestinal perforation may be manifested only as dull abdominal pain, which is often ignored and timely clinical treatment may be delayed. We report a case of a 61-year male who experienced intermittent right median ventral abdominal pain for half a year. These symptoms were the result of granulomatous inflammation of the greater omentum with local suppuration caused by a migrating fishbone (3.5 cm in length). Finally, the fishbone was removed by exploratory laparotomy. Key Words: Fishbone, Gastrointestinal perforation, Greater omentum, Granulomatous inflammation, Laparotomy.
鱼骨是最常见的胃肠道内异物，不到 1%会穿孔。然而，鱼骨穿透胃肠道并导致大网膜肉芽肿性炎症伴局部化脓并不常见。由于非特异性的临床症状，胃肠道穿孔可能仅表现为钝痛，常被忽视，可能导致延误及时的临床治疗。我们报告了 1 例 61 岁男性患者，其间断出现右侧中腹部隐痛半年，这些症状是由迁移性鱼骨（长 3.5 厘米）引起的大网膜肉芽肿性炎症伴局部化脓所致。最终通过剖腹探查术取出鱼骨。关键词：鱼骨、胃肠道穿孔、大网膜、肉芽肿性炎症、剖腹术。
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