Department of Surgery, Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal.
Department of Paediatric Surgery, Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2022 Sep 1;60(253):817-820. doi: 10.31729/jnma.7650.
Foreign body ingestions are fairly common and present with obvious symptoms. Certain foreign bodies, like button batteries and magnets, are rarely ingested, but carry with them the extremely dangerous risk of bowel wall necrosis, intestinal perforation and fistula formation. Suspected cases of such ingestions require a high index of suspicion and any delay should be avoided once a diagnosis is made. Herein, we report a case of a 7-year-male patient who presented with abdominal pain and vomiting following similar foreign body ingestion, which resulted in multiple small bowel perforations. The foreign body was removed by a laparotomy, and the affected bowel segments were resected and anastomosed. The patient made an uneventful recovery and was discharged after 5 days.
异物摄入较为常见，且症状明显。某些异物，如纽扣电池和磁铁，很少被摄入，但它们会带来极其危险的肠壁坏死、肠穿孔和瘘管形成的风险。对于此类摄入的疑似病例，需要高度怀疑，如果一旦确诊，应避免任何延误。在此，我们报告一例 7 岁男性患者，因类似异物摄入后出现腹痛和呕吐，导致多处小肠穿孔。通过剖腹手术取出异物，并切除和吻合受影响的肠段。患者恢复顺利，5 天后出院。
