直腸、子宮、膀胱穿孔を引き起こした魚の骨異物:まれな症例報告
Shiyu Luo1,2, Bo Gou1, Tengyu Zeng1
1Department of Ultrasound, The First Affiliated Hospital of Chengdu Medical College, Chengdu, China.
Frontiers in oncology
|January 30, 2026
まとめ
無痛性血尿を引き起こした魚の骨のまれな症例を提示する。この異物は直腸、子宮、膀胱を穿孔し、重度の胃腸合併症の可能性を強調している。
科学分野:
- 消化器病学
- 泌尿器科学
- 外科症例報告
背景:
- 魚の骨は一般的な胃腸異物である。
- ほとんどは自然に排出されるが、一部は留まって損傷を引き起こす。
- 異物による臓器穿孔は非常にまれである。
研究 の 目的:
- 魚の骨による膀胱穿孔の異常な症例を報告する。
- 診断の難しさと必要な学際的アプローチを強調する。
- このような広範な臓器穿孔のまれさを強調する。
主な方法:
- 診断と局在化のためのマルチモーダル画像検査。
- 外科的介入のための協調的腹腔鏡療法。
- 穿孔した臓器の組織病理学的検査。
主要な成果:
- 魚の骨が膀胱穿孔の原因であることが特定された。
- 魚の骨は直腸、子宮峡部漿膜、膀胱を穿孔していた。
- 炎症性肉芽組織が異物を囲んでいた。
結論:
- 複数の骨盤臓器の魚の骨による穿孔は例外的にまれである。
- 無痛性血尿は、異物穿孔の非定型的な兆候となりうる。
- このような複雑な症例の診断と管理には、学際的な協力が不可欠である。
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