吞食大量体温计且多年未予重视后数十年出现多处瘘管：一例报告
Occurrence of multiple fistulas decades after ingestion and neglect of numerous thermometers: a case report.
作者信息
Schulte Katrin, Wolf Henning Wendelin
机构信息
General and Visceral Surgery, Cantonal Hospital Aarau, Tellstrasse 25, 5001, Aarau, Switzerland.
出版信息
Surg Case Rep. 2024 Jan 2;10(1):4. doi: 10.1186/s40792-023-01801-w.
BACKGROUND
Ingestion of thermometers is a very rare occurrence and associated with penetrations of hollow organs. An event decades ago can lead to the development of fistulas.
CASE PRESENTATION
We present a case of a 62-year-old male who swallowed multiple thermometers with a length of up to 22 cm over a period of 40 years. Diagnostic imaging presented a retroperitoneal abscess due to a duodenal perforation of the longest thermometer as well as multiple other thermometers stuck in the small intestine. After all thermometers were removed and the abscess drained, the patient showed a clinical deterioration. In further operations we found a duodeno-sigmoid fistula and a gastro-thoracal fistula, which were not visible in the initial operations and imaging.
CONCLUSION
We recommend an active search for fistulas especially in the case of long-foregone ingestion.
背景
吞食体温计是非常罕见的情况，且与中空器官穿孔有关。数十年前发生的此类事件可能导致瘘管形成。
病例介绍
我们报告一例62岁男性病例，该患者在40年时间里吞食了多支长达22厘米的体温计。诊断性影像学检查显示，由于最长的体温计导致十二指肠穿孔，进而形成腹膜后脓肿，同时还有多支体温计卡在小肠内。在取出所有体温计并引流脓肿后，患者病情出现恶化。在后续手术中，我们发现了十二指肠-乙状结肠瘘和胃-胸瘘，这些在最初的手术和影像学检查中均未发现。
结论
我们建议，特别是对于长期吞食体温计的病例，应积极排查瘘管。
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