Arcia Alberto, Muñoz Gabriela Alexandra, Jimenez Galo E, Albuja Monica G, Yumbla Thais Suarez, Venegas Oswaldo H, Velasco Andrea G, Parrales Diana, Molina Gabriel A
Department of Surgery, Hospital Iess Quito Sur, Quito 170111, Ecuador.
School of Medicine, Universidad de las Américas PGY3, Quito 170513, Ecuador.
J Surg Case Rep. 2024 Dec 17;2024(12):rjae787. doi: 10.1093/jscr/rjae787. eCollection 2024 Dec.
Ingestion of foreign bodies is common in critical practice. Thankfully, most of these objects will pass without complications; however, sharp and metallic objects can cause severe complications like ulcers and perforation. Perforation of the gastrointestinal tract is rare; however, once it happens, prompt treatment is needed to prevent dreadful complications. We present the case of a 52-year-old patient who presented with abdominal pain and fever. A tomography detected a fishbone perforation of the stomach, which was in the lesser sac attached to the pancreas. After surgery, the patient successfully recovered.
在重症医疗实践中，异物摄入很常见。幸运的是，大多数此类物体可自行排出而无并发症；然而，尖锐和金属物体可导致严重并发症，如溃疡和穿孔。胃肠道穿孔很少见；然而，一旦发生，需要及时治疗以预防可怕的并发症。我们报告一例52岁患者，其表现为腹痛和发热。断层扫描检测到胃内有一根鱼刺穿孔，位于与胰腺相连的网膜囊内。手术后，患者成功康复。
