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牙签致小肠穿孔的内镜下取出及保守治疗:一例报告

Endoscopic Removal and Conservative Treatment of a Small Bowel Perforation Caused by a Toothpick: A Case Report.

作者信息

Watanabe Asuka, Nakamatsu Dai, Nishida Tsutomu, Fujii Yoshifumi, Osugi Naoto, Matsumoto Kengo, Yamamoto Masashi, Fukui Koji

机构信息

Gastroenterology, Toyonaka Municipal Hospital, Toyonaka, JPN.

出版信息

Cureus. 2024 Mar 30;16(3):e57254. doi: 10.7759/cureus.57254. eCollection 2024 Mar.

Abstract

This case report describes a unique instance of small bowel perforation in a 49-year-old woman caused by an ingested toothpick. Initially suspected of colonic diverticulitis, a final diagnosis of small bowel perforation was made later, and the toothpick was successfully removed via endoscopy. This case emphasizes the need to consider foreign body ingestion in the differential diagnosis of abdominal pain and demonstrates the feasibility of conservative endoscopic approaches in similar cases.

摘要

本病例报告描述了一名49岁女性因吞食牙签导致小肠穿孔的独特病例。最初怀疑为结肠憩室炎,后来最终诊断为小肠穿孔,并且通过内镜成功取出了牙签。该病例强调在腹痛的鉴别诊断中需要考虑异物吞食情况,并证明了在类似病例中采用保守内镜治疗方法的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9bc/11057516/0d3b9045fdab/cureus-0016-00000057254-i01.jpg

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