Barry Hadiatou, Abusaleh Rami, Mazin Lauren, Elmasry Sandra, Chuang Keng-Yu
Department of Medicine, Creighton University, St. Joseph Medical Center.
Internal Medicine, Creighton University, St. Joseph Medical Center.
VideoGIE. 2022 Oct 22;7(11):408-409. doi: 10.1016/j.vgie.2022.07.014. eCollection 2022 Nov.
Video 1The endoscope was advanced under direct visualization to the third part of the duodenum. A foreign body consistent with a ballpoint pen was identified in the duodenum. The sharp end of the pen formed a deep laceration through the second portion of the duodenum. The blunt end of the pen was ulcerated into the third portion of the duodenum with 2 additional pressure ulcers located in close proximity. Removal of the pen was first attempted using a snare without success. The foreign body was then successfully removed with a rat tooth. The second portion of the duodenum showed minimal oozing with contained deep laceration. The third portion of the duodenum showed 2 pressure ulcers.
视频1
在内镜直视下，将内镜推进至十二指肠第三段。在十二指肠内发现一个与圆珠笔相符的异物。笔的尖锐端在十二指肠第二部造成了一处深部撕裂伤。笔的钝端已溃入十二指肠第三部，附近还有另外2处压疮。首先尝试用圈套器取出笔，但未成功。随后用鼠齿钳成功取出异物。十二指肠第二部有少量渗血，伴有深部撕裂伤。十二指肠第三部有2处压疮。
