外体尾炎:一个病例报告和文献综述
Mei-Chuan Liang1,2, Chung-Hsin Chang3,4, Sheng-Yang Huang5
1Department of Internal Medicine, Dalin Tzu Chi Hospital, Chiayi, Taiwan.
Medicine
|July 15, 2025
概括
儿童摄入异物,虽然很少发生,但会导致尾炎. 一个2岁的男孩.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 手术病例报告 手术病例报告
背景情况:
- 摄入外体在6个月至6岁的儿童中很常见.
- 大多数被摄入的异物会自发通过.
- 尾保留是罕见的,但可能导致尾炎或穿孔.
研究的目的:
- 报告一种罕见的尾炎病例,由留存的异物引起.
- 突出这些病例的诊断和管理策略.
主要方法:
- 一个案例报告,一名2岁男孩在胃肠道中保留了2个月的螺丝.
- 通过腹部计算机断层扫描 (CT) 证实了诊断.
- laparoscopic 尾切除术由于异物长时间存在和早期急性尾炎而进行.
主要成果:
- 一个螺丝被发现入靠近大脑门附近.
- 早期急性尾炎在病理上得到证实.
- 患者在腹腔镜尾切除术后完全康复.
结论:
- 尾炎可能是外体摄入的并发症.
- 图像 (X射线,CT) 对于诊断至关重要.
- 治疗包括内镜或手术切除,包括腹腔镜尾切除.
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