由于摄入木制牙签而引起的胃孔穿孔与肝脏参与:一个案例报告
Amador H Falconi Santiago1,2, Michelle Cruz Méndez3, Jorge Noceda Crispin4
1Division of Surgery, Department of Metabolic/Bariatric Surgery and Advanced Laparoscopy, Hospital Angeles Universidad, Mexico City, MEX.
Cureus
|July 2, 2025
概括
咬牙切的摄入会导致严重的胃肠道穿孔和器官迁移. 早期的手术干预对于诊断和康复至关重要,尤其是无法解释的腹痛.
科学领域:
- 胃肠病学 胃肠病学
- 手术病例报告 手术病例报告
背景情况:
- 吃掉牙签是一种罕见的胃肠道损伤的原因.
- 木制牙签是放射性,使诊断复杂化.
- 延迟诊断增加了穿孔和器官迁移的风险.
研究的目的:
- 报告一个胃和肝脏穿孔的病例,由牙签的摄入引起.
- 强调临床怀疑和及时手术干预的重要性.
主要方法:
- 一个52岁的男性的病例介绍,他患有无法解释的腹上疼痛.
- 诊断成像包括CT扫描.
- 探索性腹腔切除术用于诊断和手术修复.
主要成果:
- 电图扫描显示空气是自由的,但没有外体.
- 拉巴切除术发现了一把木制牙签穿透了胃壁和肝脏.
- 成功的手术修复和患者的完全康复.
结论:
- 临床怀疑对于诊断牙签摄入至关重要,特别是在患有酒精使用等危险因素的患者中.
- 当成像无法确定时,需要迅速进行手术干预.
- 早期诊断和治疗改善了罕见的胃肠外体损伤的患者结果.
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