Yu Shunying, Su Shuxian, Shao Xinyu, Zhou Yuqing, Yu Yang, Kuai Xiaoyi, Zhou Chunli
Department of Gastroenterology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University Suzhou, Jiangsu, China.
Am J Transl Res. 2022 Nov 15;14(11):8286-8291. eCollection 2022.
Foreign body ingestion is a rare but important clinical event. We herein describe a patient who was misdiagnosed with acute pancreatitis after inadvertent ingestion of a toothpick while drunk. The toothpick penetrated the stomach and migrated to the pancreas, resulting in abdominal pain for nearly 1 month. We present the clinical manifestations, diagnosis, and treatment of the patient and summarize the characteristics of patients with foreign body ingestion by a systematic literature review. This report illustrates an unusual of misdiagnosed acute pancreatitis caused by foreign body. This case reminds us to make full use of different diagnostic tools and multidisciplinary collaboration to leverage their complementary strengths and improve the diagnostic accuracy.
异物摄入是一种罕见但重要的临床事件。我们在此描述一名患者，其在醉酒后不慎吞食牙签，随后被误诊为急性胰腺炎。牙签穿透胃并迁移至胰腺，导致腹痛近1个月。我们介绍了该患者的临床表现、诊断和治疗情况，并通过系统的文献综述总结了异物摄入患者的特征。本报告阐述了由异物导致的误诊急性胰腺炎的一种不寻常情况。该病例提醒我们要充分利用不同的诊断工具和多学科协作，发挥其互补优势，提高诊断准确性。
