Department of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Institute of Transfusion Medicine, Zhongshan Blood Center, Zhongshan, China.
J Int Med Res. 2024 Aug;52(8):3000605241266548. doi: 10.1177/03000605241266548.
Pancreatitis caused by a fish bone penetrating the posterior wall of the stomach and entering the pancreas is rare. We herein report a case involving a woman in her late 30s with an approximately 1-month history of recurrent upper abdominal pain. Initial evaluation at another hospital failed to identify the cause but raised suspicion of pancreatic cancer. Computed tomography, magnetic resonance imaging, and a detailed consultation led us to suspect that the patient's pain had been caused by inadvertent ingestion of a fish bone. We used three-dimensional visualization technology to determine the location of the fish bone and informed the patient of the lesion and surgical plan through a simulated surgical demonstration. During surgery, we applied augmented reality navigation technology to remove the fish bone by a minimally invasive approach. The patient was discharged on postoperative day 3. She was followed up by telephone 24 hours after discharge. Outpatient follow-up was performed 1 week after discharge and on day 30. The patient recovered well and developed no complications. This case shows that digital medical technology can be applied in patients undergoing surgical removal of a pancreatic foreign body. Such technology assists with preoperative evaluation, patient education, and intraoperative trauma reduction.
由鱼刺穿透胃后壁进入胰腺引起的胰腺炎很少见。我们在此报告一例 30 多岁女性，反复上腹痛约 1 个月。在另一家医院的初步评估未能确定病因，但怀疑为胰腺癌。计算机断层扫描、磁共振成像和详细咨询使我们怀疑患者的疼痛是由于无意中摄入鱼刺引起的。我们使用三维可视化技术确定鱼刺的位置，并通过模拟手术演示告知患者病变和手术计划。在手术过程中，我们应用增强现实导航技术通过微创方式取出鱼刺。患者术后第 3 天出院。出院后 24 小时电话随访。出院后 1 周和 30 天进行门诊随访。患者恢复良好，无并发症。该病例表明，数字医疗技术可应用于接受胰腺异物取出术的患者。该技术有助于术前评估、患者教育和术中减少创伤。
