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误食橄榄核导致的肠梗阻

Intestinal Obstruction Due to Ingested Olive Pits.

作者信息

Bolanaki Helen, Pappas Gogos George, Karayiannakis Anastasios J

机构信息

Second Department of Surgery, School of Medicine, Democritus University of Thrace, Alexandroupolis, GRC.

出版信息

Cureus. 2024 Nov 7;16(11):e73257. doi: 10.7759/cureus.73257. eCollection 2024 Nov.

Abstract

Intestinal obstruction after ingestion of foreign bodies is a rare condition. A wide variety of ingested foreign bodies has been reported as a cause of mechanical small bowel obstruction, with ingested fruit pits being rarely reported as causes of intestinal obstruction. Here, we report the case of a 70-year-old female diagnosed with intestinal obstruction due to swallowed olive pits tightly impacted in the distal ileum. A conclusive diagnosis was made preoperatively by computed tomography of the abdomen. After initial conservative treatment, the patient underwent laparotomy because of persistent obstruction. The ingested pits were removed through an enterotomy and the obstruction was successfully resolved.

摘要

摄入异物后发生肠梗阻是一种罕见的情况。据报道,各种各样的摄入异物可导致机械性小肠梗阻,而摄入果核导致肠梗阻的情况鲜有报道。在此,我们报告一例70岁女性因吞下的橄榄核紧密嵌顿在回肠末端而被诊断为肠梗阻的病例。术前通过腹部计算机断层扫描做出了明确诊断。经过初步保守治疗后,由于梗阻持续存在,患者接受了剖腹手术。通过肠切开术取出了摄入的果核,梗阻得以成功解除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67e5/11625176/7d9e7605a858/cureus-0016-00000073257-i01.jpg

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