Hou Runjie, Wang Jijun, Guo Jing, Du Mingyue, Dong Zhenyu, Song Xiaobiao
Gastrointestinal Surgery Department, Baotou Central Hospital, Baotou, Inner Mongolia, China.
Baotou Medical College, Baotou, Inner Mongolia, China.
Front Surg. 2024 Dec 10;11:1465731. doi: 10.3389/fsurg.2024.1465731. eCollection 2024.
The incidence of foreign bodies within the human body is uncommon, with thermometers representing an exceptionally rare subset of such cases. The management of these cases is particularly challenging due to the fragility of mercury thermometers and the toxic nature of their contents.
A 16-year-old male adolescent presented with a three-month history of persistent, dull pain localized to the right inguinal region. Diagnostic imaging, including an abdominal upright x-ray and CT scans, revealed the presence of an intra-abdominal foreign body, specifically a thermometer. The diagnosis was subsequently confirmed intraoperatively through laparoscopic exploration. The foreign body was successfully extracted via laparoscopic intervention. The patient's postoperative course was uneventful, leading to discharge on the second day following the procedure. A one-month follow-up examination revealed no complications.
A comprehensive literature review was conducted, focusing on cases involving thermometers as foreign bodies. The diagnostic and treatment experiences from the present case were integrated into this analysis. Based on these findings, a summary of diagnostic and treatment strategies for thermometer-related foreign body incidents has been formulated. It is recommended that an abdominal upright x-ray examination be employed as the primary diagnostic modality. The integrity and location of the thermometer, along with the presence of associated complications, should be considered as crucial factors in determining the most appropriate treatment approach. Furthermore, it is imperative to address the psychological and mental health aspects of these cases, particularly in adolescent patients.
人体异物的发生率并不常见，温度计是此类病例中极为罕见的一部分。由于水银温度计易碎且其内容物具有毒性，这些病例的处理极具挑战性。
一名16岁男性青少年因右腹股沟区持续钝痛3个月前来就诊。包括腹部立位X线和CT扫描在内的诊断性影像学检查显示腹内有异物，具体为一支温度计。随后通过腹腔镜探查在术中确诊。通过腹腔镜干预成功取出异物。患者术后恢复顺利，术后第二天出院。1个月的随访检查未发现并发症。
进行了全面的文献综述，重点关注涉及温度计作为异物的病例。本病例的诊断和治疗经验被纳入该分析。基于这些发现，制定了温度计相关异物事件的诊断和治疗策略总结。建议采用腹部立位X线检查作为主要诊断方式。温度计的完整性和位置以及相关并发症的存在应被视为确定最合适治疗方法的关键因素。此外，必须关注这些病例的心理和心理健康方面，尤其是青少年患者。
