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异物摄入:一例因慢性酒精中毒导致肠梗阻的酒塞摄入病例。

Foreign body ingestion: A case of wine-cork ingestion due to chronic alcoholism leading to ileus.

作者信息

Tobcu Eren, Özcan Haldun, Karavaş Erdal, Topçu Bilgin

机构信息

Department of Radiology, Bandırma Onyedi Eylul University School of Medicine, Bandırma Research and Training Hospital Balıkesir, Turkey.

Department of General Surgery, Bandırma Research and Training Hospital Balıkesir, Turkey.

出版信息

Acta Radiol Open. 2024 Jun 10;13(7):20584601241258686. doi: 10.1177/20584601241258686. eCollection 2024 Jul.

Abstract

Ingestion of foreign bodies is a rare clinical problem in healthy adults. Less than 1% of cases need surgery due to perforation or obstruction. Here, we describe an unusual case of a wine-cork ingestion by a 54-year-old woman with a history of chronic alcohol consumption. Computed tomography (CT) of the abdomen and pelvis revealed foreign body (FB) in terminal ileum. The proximal part of the ileum was dilated due to obstruction. Laparotomy was performed, and the FB was removed without complications. Most ingested FBs spontaneously pass through the gastrointestinal tract. However, in rare instances, the FB can cause obstruction. In case of suspicion of serious complications such as obstruction and perforation, abdominopelvic CT should be used. The application of radiographic techniques in the identification of FBs and the assessment of potential complications plays a crucial role in expediting medical interventions for patients.

摘要

异物摄入在健康成年人中是一个罕见的临床问题。因穿孔或梗阻而需要手术的病例不到1%。在此,我们描述了一例不同寻常的病例,一名有长期饮酒史的54岁女性摄入了一个葡萄酒软木塞。腹部和盆腔计算机断层扫描(CT)显示回肠末端有异物(FB)。由于梗阻,回肠近端扩张。进行了剖腹手术,异物被顺利取出,未出现并发症。大多数摄入的异物会自发通过胃肠道。然而,在极少数情况下,异物会导致梗阻。如果怀疑有诸如梗阻和穿孔等严重并发症,应使用腹部盆腔CT。放射学技术在识别异物和评估潜在并发症方面的应用,对加快患者的医疗干预起着至关重要的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a70f/11168056/5dd7451cbefa/10.1177_20584601241258686-fig1.jpg

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