DeLong Claire, Fiesseler Frederick
Morristown Medical Center, Department of Emergency Medicine, Morristown, NJ.
J Educ Teach Emerg Med. 2025 Jul 31;10(3):V5-V7. doi: 10.21980/J8CD38. eCollection 2025 Jul.
Abdominal pain is a common complaint in emergency medicine, with a vast differential diagnosis. We report a case of a 42-year-old male presenting with two days of progressively worsening left lower quadrant (LLQ) pain. A CT scan of the abdomen demonstrated a small metallic foreign body. The patient had not ingested any grilled food, since this was the speculated etiology, given the concern for potentially ingesting a wire grill brush piece. Considering the significant pain and associated computer tomography (CT) findings, the patient was taken to the operating room. A 2 cm piece of metal wire was found perforating his small intestines. The patient remembered a recent visit to his orthodontist which was uneventful. Complications from orthodontic procedures are rare and typically benign. We report an unusual case of an iatrogenic small bowel perforation from an archwire. The patient had a full recovery.
Orthodontist, bowel perforation, iatrogenic, archwire.
腹痛是急诊医学中常见的主诉，鉴别诊断范围广泛。我们报告一例42岁男性患者，其左下腹疼痛持续两天且逐渐加重。腹部CT扫描显示有一个小的金属异物。鉴于怀疑可能摄入钢丝烤架刷片，推测病因是患者未食用任何烤制食物。考虑到疼痛剧烈及相关的计算机断层扫描（CT）结果，患者被送往手术室。发现一段2厘米长的金属丝穿透他的小肠。患者记得最近去看了正畸医生，当时并无异常情况。正畸治疗的并发症很少见，通常为良性。我们报告一例由正畸弓丝导致医源性小肠穿孔的罕见病例。患者已完全康复。
正畸医生、肠穿孔、医源性、正畸弓丝
