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人体中偶然发现的少数有趣异物:病例系列

Few incidentally found interesting foreign objects in human body: a case series.

作者信息

Hatgaonkar Anand, Hatgaonkar Kajal, Dhote Sandeep, Dhawan Vaishali

机构信息

Radiodiagnosis, Datta Meghe Medical College, Nagpur. Datta Meghe Institute of Higher Education and Research (DU), Swangi (Meghe), Wardha, Maharashtra, 442107, India.

Pathology, Datta Meghe Medical College, Nagpur. Datta Meghe Institute of Higher Education and Research (DU), Sawangi (Meghe), Wardha, Maharashtra, 442107, India.

出版信息

F1000Res. 2024 Jul 18;12:1306. doi: 10.12688/f1000research.134773.3. eCollection 2023.

Abstract

Foreign bodies are objects that do not typically belong in the human body but can be ingested, inserted, or entered due to injuries. This article presents various cases and examples of foreign bodies, including objects swallowed, objects inserted into the rectum, vagina, urethra, ear, and nose, or due to injuries caused by falls, puncture wounds, and gunshot wounds. Foreign bodies can be difficult to detect, particularly if they are not inherently radio-opaque, and may be overlooked by patients who cannot provide an adequate history. These foreign bodies may cause harm to the patient. Interpretation is done on radiographs, computed tomography (CT), Ultrasonography (USG), and magnetic resonance imaging (MRI) studies. Most foreign objects pass through the gastrointestinal tract without problem; sharp and elongated objects can cause significant injury, and even if they only partially perforate the bowel wall, they can produce chronic inflammatory processes that produce symptoms months or years later. Hence, searching for foreign bodies should be done throughout the gastrointestinal tract, particularly in children and people with mental illness who are more likely to swallow multiple items more than once. Although rare, various materials can be left behind in the body of a patient after surgery, including large and small wire sutures, surgical drains, and retained sponges, which can cause potential complications and foreign body reactions. This article highlights the importance of being aware of the presence of foreign bodies in clinical practice, and a thorough search should be carried out using different modalities, especially CT. Great suspicion and early diagnosis of foreign bodies can avoid potential complications and morbidity. In general, it provides information on the diagnosis and treatment of various types of foreign bodies.

摘要

异物是通常不属于人体但可能因受伤而被摄入、插入或进入人体的物体。本文介绍了异物的各种病例和实例,包括吞咽的物体、插入直肠、阴道、尿道、耳朵和鼻子的物体,或因跌倒、刺伤和枪伤导致的受伤情况。异物可能难以检测,特别是如果它们本身不是不透射线的,并且可能被无法提供充分病史的患者忽视。这些异物可能会对患者造成伤害。通过X线片、计算机断层扫描(CT)、超声检查(USG)和磁共振成像(MRI)研究进行解读。大多数异物可顺利通过胃肠道;尖锐和细长的物体可造成严重损伤,即使它们只是部分穿透肠壁,也可引发慢性炎症过程,在数月或数年后产生症状。因此,应在整个胃肠道进行异物搜寻,特别是在儿童和精神疾病患者中,他们更有可能不止一次吞咽多种物品。虽然罕见,但手术后患者体内可能会遗留各种材料,包括大小不一的金属缝线、手术引流管和残留海绵,这可能会导致潜在并发症和异物反应。本文强调了在临床实践中意识到异物存在的重要性,应使用不同方式进行全面搜寻,尤其是CT。对异物的高度怀疑和早期诊断可避免潜在并发症和发病情况。总体而言,本文提供了关于各类异物诊断和治疗的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5cb/11927455/cf427b263d1f/f1000research-12-168320-g0000.jpg

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