Guber M D, Suarez C A, Greve J
Department of Medicine, South Florida Center for Digestive Diseases, University of Miami School of Medicine, USA.
Am J Gastroenterol. 1996 Apr;91(4):789-91.
We report the case of a 50-yr-old man who unknowingly swallowed a double-pointed toothpick that ultimately perforated the distal small bowel over a period of several weeks. Appendicitis and ileitis were sequentially considered as diagnosis. A foreign body was diagnosed on a second small bowel series and removed. It has been noted that, because toothpicks are not radiopaque, radiographic studies are not useful in the diagnostic workup. In the case reported, the toothpick was seen on the contrast radiograph of the small bowel and the correct diagnosis ultimately made.
我们报告了一例50岁男性病例，该患者在不知情的情况下吞下了一根双头牙签，最终在几周内导致远端小肠穿孔。阑尾炎和回肠炎先后被考虑作为诊断。在第二次小肠造影检查中诊断出异物并将其取出。需要注意的是，由于牙签不透射线，放射学检查在诊断评估中并无帮助。在本报告的病例中，在小肠造影X线片上看到了牙签，最终做出了正确诊断。
