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一例罕见的需剖腹手术的餐叉误吞病例。

A Rare Case of Table Fork Ingestion Requiring Laparotomy.

作者信息

Edizsoy Akay, Akalin Serhan, Ergin Zeynep Simay, Barak Hatice, Cokpinar Salih

机构信息

General Surgery/Surgical Oncology, Adnan Menderes University Faculty of Medicine, Aydın, TUR.

General Surgery, Adnan Menderes University Faculty of Medicine, Aydın, TUR.

出版信息

Cureus. 2025 Apr 28;17(4):e83138. doi: 10.7759/cureus.83138. eCollection 2025 Apr.

Abstract

Foreign body ingestion may occur accidentally or intentionally, particularly among children, elderly individuals, and those with psychiatric conditions. While small objects often pass spontaneously, large or sharp items may require endoscopic or surgical retrieval to prevent complications. We present the case of a 22-year-old woman who accidentally ingested a table fork while playing with her children. Imaging revealed the fork's prongs in the esophagus and the handle in the stomach. Endoscopic removal was attempted but aborted due to the size of the fork and the potential risk of esophageal injury. The patient subsequently underwent laparotomy, and the fork was retrieved via gastrostomy without complications. Surgical removal should be considered when endoscopic retrieval of a foreign body is unsuccessful or carries a high risk, as illustrated in this rare case of table fork ingestion.

摘要

异物摄入可能意外发生,也可能是故意的,尤其在儿童、老年人以及患有精神疾病的人群中。虽然小物件通常会自行排出,但大的或尖锐的物品可能需要通过内镜或手术取出以预防并发症。我们报告一例22岁女性病例,她在与孩子玩耍时意外吞下一把餐叉。影像学检查显示餐叉的叉尖在食管,手柄在胃内。尝试进行内镜取出,但由于餐叉尺寸以及食管损伤的潜在风险而中止。患者随后接受了剖腹手术,通过胃造口术取出餐叉,未出现并发症。当异物的内镜取出不成功或风险很高时,应考虑手术取出,就像这例罕见的餐叉摄入病例所示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/318f/12118944/ffcea0f5e7a6/cureus-0017-00000083138-i01.jpg

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