一次射入肠道:尾炎是由保留的子弹引发的
Georges Kaoukabani1, Roberto Alva-Ruiz1, Omair Shariq1
1Department of Surgery, Mayo Clinic, 200 1st St. SW, Rochester, MN 55905, United States.
摄入外来物体,例如从猎物肉中颗粒,可以引起急性尾炎. 迅速的手术切除对于预防并发症和潜在的暴露至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 毒理学 毒理学 毒理学
- 手术病理学手术病理学
背景情况:
- 急性尾炎是一种常见的手术紧急情况,经常是由便阻塞引起的.
- 摄入外体是尾炎的罕见原因,小金属物体构成独特的风险.
研究的目的:
- 报告一种罕见的急性尾炎病例,由摄入的颗粒引起.
- 突出外体诱导尾炎的诊断考虑因素.
- 为了强调保留的外体可能导致毒性的可能性.
主要方法:
- 一个30岁的男性患有慢性右下象限疼痛和急性恶化.
- 诊断成像显示了尾内的金属密度.
- 腹腔镜尾切除术用于诊断确认和治疗干预.
主要成果:
- 腹腔镜尾切除术证实,尾内有两颗保留的颗粒.
- 组织学检查显示急性尾炎.
- 患者有经常食用野生动物肉的病史.
结论:
- 摄入的颗粒是急性尾炎的罕见但重要的原因.
- 在具有相关社会病史和暗示性成像的患者中,应提出临床怀疑.
- 及时的手术管理对于预防诸如穿孔和中毒等并发症至关重要.
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