Senapathy Gayatri, Vengala Sudhakar, Muriki Rohini, Rughwani Hardik, Kalapala Rakesh
Department of Radiology, Asian Institute of Gastroenterology, Gachibowli, Hyderabad, India.
Department of Gastroenterology, Asian Institute of Gastroenterology, Gachibowli, Hyderabad, India.
BJR Case Rep. 2023 Sep 11;9(5):20230070. doi: 10.1259/bjrcr.20230070. eCollection 2023 Oct.
Gastric and duodenal perforation from ingested organic and inorganic foreign bodies, such as sewing needles, toothpick, metallic wires, fish and chicken bone, are uncommon incidents as most foreign bodies pass in the faeces. The perforated foreign body can at times migrate and either penetrate causing traumatic injury or incite inflammation with formation of abscesses or pseudo-tumours in the adjacent organs such as the liver and pancreas. We report one such case of pancreatitis in a child resulting from a metallic wire perforating the posterior gastric wall and penetrating the pancreas. The findings were detected on CT and the foreign body was extracted endoscopically. We also present review of literature on similar case reports.
摄入有机和无机异物（如缝纫针、牙签、金属丝、鱼骨和鸡骨）导致的胃和十二指肠穿孔并不常见，因为大多数异物会随粪便排出。穿孔的异物有时会迁移，要么穿透造成创伤性损伤，要么引发炎症，在相邻器官（如肝脏和胰腺）形成脓肿或假肿瘤。我们报告了一例儿童胰腺炎病例，病因是金属丝穿透胃后壁并刺入胰腺。通过CT检测到了相关情况，并通过内镜取出了异物。我们还对类似病例报告的文献进行了综述。
