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食鱼骨致小肠穿孔 1 例报告。

Small bowel perforation with ingestion of a fish bone: case report.

机构信息

Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia.

Department of Gynecology, Monastir University Hospital, Monastir, Tunisia.

出版信息

Pan Afr Med J. 2024 Jul 9;48:94. doi: 10.11604/pamj.2024.48.94.42796. eCollection 2024.

DOI:10.11604/pamj.2024.48.94.42796
PMID:39492854
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11530384/
Abstract

The perforation of the gastrointestinal tract caused by fish bone is rare, with a percentage rate of 1%. Surgical intervention is necessary in less than 1% of cases. We report a case of a 55-year-old male patient who was admitted for a rectus sheath abscess caused by perforation of the small bowel by a fish bone. He was treated surgically. Diagnosing perforation secondary to fish bone ingestion poses challenges due to its presentation.

摘要

鱼骨导致的胃肠道穿孔较为少见，其发生率为 1%。不到 1%的病例需要手术干预。我们报告了 1 例 55 岁男性患者，因鱼骨刺穿小肠导致腹直肌鞘脓肿而入院。患者接受了手术治疗。由于其临床表现，诊断因鱼骨摄入导致的穿孔具有挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f13/11530384/36eaa07674db/PAMJ-48-94-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f13/11530384/4f84370ba677/PAMJ-48-94-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f13/11530384/36b47411b327/PAMJ-48-94-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f13/11530384/36eaa07674db/PAMJ-48-94-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f13/11530384/4f84370ba677/PAMJ-48-94-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f13/11530384/36b47411b327/PAMJ-48-94-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f13/11530384/36eaa07674db/PAMJ-48-94-g003.jpg

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引用本文的文献

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Evaluation of the risk factors for severe complications and surgery of intestinal foreign bodies in adults: a single-center experience with 180 cases.成人肠道异物严重并发症及手术的危险因素评估：单中心180例经验
Gastroenterol Rep (Oxf). 2022 Aug 11;10:goac036. doi: 10.1093/gastro/goac036. eCollection 2022.
2
Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery.神经功能受损儿童的异物摄入：小儿外科中具有挑战性的诊断与处理
Children (Basel). 2021 Oct 23;8(11):956. doi: 10.3390/children8110956.
3
Fish Bone Foreign Body: The Role of Imaging.
鱼骨异物：影像学的作用
Int Arch Otorhinolaryngol. 2019 Jan;23(1):110-115. doi: 10.1055/s-0038-1673631. Epub 2018 Oct 26.
4
Self extrusion on an ingested foreign body: a case report.摄入异物后的自行排出：一例报告
Tunis Med. 2018 May;96(5):314-316.
5
Oesophagus obstruction due to ingestion of multiple foreign bodies.因摄入多个异物导致食管梗阻。
J Pak Med Assoc. 2016 Apr;66(4):473-4.
6
Laparoscopically detected and nonsurgically managed ileal perforation by an ingested fish bone: a case report.腹腔镜检测到并经非手术治疗的吞入鱼骨导致的回肠穿孔：一例报告
J Med Case Rep. 2015 Feb 25;9:43. doi: 10.1186/s13256-015-0526-7.
7
Abdominal foreign body: late presentation as a rectus sheath abscess.腹部异物：作为腹直肌鞘脓肿的迟发表现。
Singapore Med J. 2011 May;52(5):e94-5.
8
Bowel perforation by crumpled paper in a patient presenting with acute abdominal pain.一名急性腹痛患者因皱纸导致肠穿孔。
Saudi J Gastroenterol. 2009 Jan;15(1):52-4. doi: 10.4103/1319-3767.45060.
9
CT in the preoperative diagnosis of fish bone perforation of the gastrointestinal tract.CT在胃肠道鱼骨穿孔术前诊断中的应用
AJR Am J Roentgenol. 2006 Sep;187(3):710-4. doi: 10.2214/AJR.05.0178.