Kubota Dai, Tsuji Yosuke, Hayakawa Yoku, Fujishiro Mitsuhiro
Next-Generation Endoscopic Computer Vision, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.
Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.
Clin J Gastroenterol. 2025 Feb;18(1):53-56. doi: 10.1007/s12328-024-02060-4. Epub 2024 Nov 12.
This case report presents a common but instructive clinical scenario of accidental ingestion of a press-through package. Despite an initial negative chest X-ray and mild symptoms, the diagnosis was confirmed with additional computed tomography. The patient was eventually went through the successful endoscopic removal of the press-through package. Furthermore, a retrospective re-reviewing of the X-ray revealed a faint ring-shaped gas sign, characteristic of press-through package ingestion. This case underscores the intractableness to diagnosis of accidental ingestion of press-through package by only X-rays in real time and the potential role of computed tomography in ensuring timely diagnosis and treatment.
本病例报告呈现了意外吞食按压式包装这一常见但具有启发性的临床情景。尽管最初胸部X光检查结果为阴性且症状较轻，但通过进一步的计算机断层扫描确诊了病情。患者最终成功通过内镜取出了按压式包装。此外，对X光片进行回顾性重新检查时发现了一个 faint 环形气体征，这是吞食按压式包装的特征。该病例强调了仅通过X光实时诊断意外吞食按压式包装的难度，以及计算机断层扫描在确保及时诊断和治疗方面的潜在作用。 注：“faint”这里可能是“模糊的”意思，原文此处表述不太准确清晰。
