Tomono Norio, Niiro Naohisa, Fujita Yasuhiko, Amagai Teruyoshi
Surgery, Tokunoshima Tokushukai General Hospital, Kagoshima, JPN.
Internal Medicine, Amagi Yuino-Sato Medical Center, Kagoshima, JPN.
Cureus. 2025 Mar 23;17(3):e81060. doi: 10.7759/cureus.81060. eCollection 2025 Mar.
A 70-year-old female who presented with epigastric pain of two days' duration was reported. Her multi-detector computed tomography (MDCT) images showed peri-gastric fat stranding on MDCT, corresponding to the extra-gastric wall inflammation due to gastric perforation. Laparoscopic surgery was successfully performed to remove the extra-gastric foreign body and repair the perforation with the lesser omentum. To the best of our knowledge, the literature review showed that this is the 10th case of gastric perforation due to a foreign body treated by laparoscopy. The fat stranding is considered indicative of gastric perforation, and laparoscopy must be prepared when gastroscopy fails to remove and save the gastric perforation.
据报道，一名70岁女性因上腹部疼痛两天前来就诊。她的多排螺旋计算机断层扫描（MDCT）图像显示，MDCT上胃周脂肪有条索状改变，这与胃穿孔导致的胃外壁炎症相对应。通过腹腔镜手术成功取出胃外异物，并用小网膜修复穿孔。据我们所知，文献回顾显示，这是第10例通过腹腔镜治疗的异物导致的胃穿孔病例。脂肪条索状改变被认为提示胃穿孔，当胃镜无法取出异物并挽救胃穿孔时，必须做好腹腔镜手术的准备。
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