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摄入含铁“保鲜包”继发小肠梗阻

Small Bowel Obstruction Secondary to an Ingested Iron "Stay Fresh" Pack.

作者信息

Taylor Robinson D, Kehrt Zachary

机构信息

Emergency Medicine, Sutter Roseville Medical Center, Roseville, USA.

出版信息

Cureus. 2025 Aug 18;17(8):e90419. doi: 10.7759/cureus.90419. eCollection 2025 Aug.

Abstract

"Stay-fresh" packets are commonly used items to prevent oxygen or water from damaging items. These are routinely placed in food items such as meat jerky, nuts, dried fruits, and breads, and are usually not toxic when ingested. While a few case reports have described esophageal obstruction following the ingestion of silica stay-fresh packets, no case reports to date have documented pathology resulting from the ingestion of iron stay-fresh packets in otherwise healthy individuals. In this case report, a 51-year-old man presented to the ER with abdominal pain. The CT scan indicated severe proximal bowel distention with distal enteritis, along with a possible small bowel foreign body. The patient denied ingesting any foreign bodies. Abdominal exam gradually worsened, and an exploratory laparotomy was performed, revealing an obstruction secondary to an ingested iron "stay-fresh" packet.

摘要

“保鲜”包是防止氧气或水损坏物品的常用物品。它们通常放置在肉干、坚果、干果和面包等食品中,摄入时通常无毒。虽然有一些病例报告描述了摄入硅胶保鲜包后出现食管梗阻,但迄今为止,尚无病例报告记录在其他方面健康的个体摄入铁制保鲜包后导致的病理情况。在本病例报告中,一名51岁男性因腹痛就诊于急诊室。CT扫描显示近端肠道严重扩张伴远端肠炎,以及可能存在小肠异物。患者否认摄入任何异物。腹部检查逐渐恶化,遂进行剖腹探查术,发现梗阻是由摄入的铁制“保鲜”包引起的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddcd/12443459/78bc7722bcef/cureus-0017-00000090419-i01.jpg

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