Shi Yuyi, Xu Xiliang, Wang Yuxu, Qu Wenhao
Hepatobiliary and Pancreatic Medical Center, The First Affiliated Hospital of Shandong Second Medical University (Weifang People's Hospital), Weifang, China.
Front Med (Lausanne). 2025 Apr 1;12:1546707. doi: 10.3389/fmed.2025.1546707. eCollection 2025.
We present a case of duodenal perforation caused by accidental ingestion of a fishbone, presenting with right upper abdominal pain and jaundice. Imaging studies revealed duodenal perforation, common bile duct stones, and portal vein thrombosis. By reviewing the patient's clinical presentation, diagnostic process, treatment measures, and prognosis, we analyzed the potential mechanisms underlying this complex pathological condition and proposed appropriate clinical management strategies. Duodenal perforation caused by foreign bodies is a rare but potentially fatal condition that may lead to severe complications. Foreign body-induced duodenal and bile duct perforation can act as potential triggers for common bile duct stones and portal vein thrombosis. Its intricate pathophysiology requires heightened vigilance and comprehensive evaluation. Prompt diagnosis and individualized treatment strategies are critical for improving patient outcomes.
我们报告一例因意外吞食鱼骨导致十二指肠穿孔的病例，患者表现为右上腹疼痛和黄疸。影像学检查显示十二指肠穿孔、胆总管结石和门静脉血栓形成。通过回顾患者的临床表现、诊断过程、治疗措施及预后，我们分析了这种复杂病理状况的潜在机制，并提出了适当的临床管理策略。异物导致的十二指肠穿孔是一种罕见但可能致命的疾病，可能会引发严重并发症。异物引起的十二指肠和胆管穿孔可能是胆总管结石和门静脉血栓形成的潜在诱因。其复杂的病理生理学需要提高警惕并进行全面评估。及时诊断和个体化治疗策略对于改善患者预后至关重要。
