Hang Dongyun, Ding Kai, Tang Jie, Ning Beifang, Feng Lingmei
Gastroenterology, Shanghai Pudong New Area People's Hospital, Shanghai, CHN.
Gastroenterology, The Second Affiliated Hospital of Naval Medical University, Shanghai, CHN.
Cureus. 2025 Aug 4;17(8):e89327. doi: 10.7759/cureus.89327. eCollection 2025 Aug.
Acute pancreatitis (AP) is a common inflammatory disease of the pancreas, which can range from mild to severe and life-threatening. The leading causes of AP include gallstones, alcohol abuse, hypertriglyceridemia, trauma, and pancreatic tumors. Here, we report a rare case of AP caused by the penetration of a fishbone into the pancreas. The treatment of pancreatitis caused by foreign bodies generally requires surgical or endoscopic removal of foreign bodies; otherwise, it may cause severe complications, such as an abscess. However, a repeated CT after transfer found that the foreign body had migrated to the intestinal lumen spontaneously. Therefore, conducting a rigorous pre-intervention evaluation is critical for clinical decision-making. This case underscores the critical roles of early imaging, rapid diagnosis, inter-hospital or multidisciplinary cooperation, and prompt appropriate treatment in managing AP caused by a foreign body.
急性胰腺炎（AP）是一种常见的胰腺炎症性疾病，病情可轻可重，甚至危及生命。AP的主要病因包括胆结石、酗酒、高甘油三酯血症、外伤和胰腺肿瘤。在此，我们报告一例罕见的因鱼刺刺入胰腺导致的AP病例。异物所致胰腺炎的治疗通常需要手术或内镜取出异物；否则，可能会引发严重并发症，如脓肿。然而，转院后复查CT发现异物已自行移入肠腔。因此，进行严格的干预前评估对临床决策至关重要。该病例强调了早期影像学检查、快速诊断、院际或多学科合作以及及时恰当治疗在处理异物所致AP中的关键作用。
