Department of General Surgery, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
School of Life Sciences, Beijing University of Chinese Medicine, Beijing, China.
J Int Med Res. 2023 Jun;51(6):3000605231183702. doi: 10.1177/03000605231183702.
Elemental mercury impaction in the appendix can cause subsequent local and systemic complications. We present a case of a teenage boy who ingested approximately 10 mL of elemental mercury, resulting in residual mercury sequestration in the appendix after conservative management. We performed laparoscopic appendectomy to remove the residual mercury. The patient made a complete clinical recovery without adverse events related to mercury poisoning over the 6-month follow-up. We highlight the advantages of laparoscopic appendectomy, abdominal computed tomography (CT), negative pressure operating rooms, and surgeon protection to improve surgical success rates. This case report adds to the literature on the management of elemental mercury impaction in the appendix and provides valuable insights for clinical decision-making.
元素汞嵌顿在阑尾中可引起随后的局部和全身并发症。我们报告了 1 例青少年男性患者，他摄入了大约 10 毫升的元素汞，经保守治疗后，残留的汞被隔离在阑尾中。我们进行了腹腔镜阑尾切除术以去除残留的汞。在 6 个月的随访中，患者无汞中毒相关的不良事件，完全康复。我们强调了腹腔镜阑尾切除术、腹部计算机断层扫描（CT）、负压手术室和外科医生保护的优势，以提高手术成功率。本病例报告增加了有关元素汞嵌顿在阑尾中的处理的文献，并为临床决策提供了有价值的见解。
