摄入鱼骨是肠道穿孔的重要原因
Wenwei Zuo1, Jiexin Bai1,2, Jing Wei2
1Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Frontiers in medicine
|August 29, 2025
概括
摄入鱼骨可能导致罕见的肠道穿孔. 通过CT扫描等成像检测及时诊断以及详细的病史对于有效的治疗和康复至关重要.
科学领域:
- 胃肠病学
- 外科病理学
- 医学成像
背景情况:
- 外体摄入 (FBI) 是常见的,鱼骨摄入 (FI) 是经常发生的.
- 鱼骨引起的肠道穿孔 (FIIP) 是一种罕见但严重的并发症,在初步诊断中经常错过.
- 急性腹痛可能是FIIP的症状,需要仔细评估.
研究的目的:
- 介绍鱼骨诱导肠道穿孔 (FIIP) 的病例,并审查现有的文献.
- 强调及时诊断和确定肠道穿孔的原因的重要性.
- 突出医疗史和诊断成像在FIIP管理中的作用.
主要方法:
- 一个39岁的患有FIIP的急性腹痛的病例研究.
- 对鱼骨诱导的肠道穿孔现有文献的审查.
- 使用腹腔镜手术,然后进行腹腔切除.
主要成果:
- 通过手术成功切除鱼骨, 患者恢复良好.
- 计算机断层扫描 (CT) 和超声波扫描对于诊断至关重要,CT提供更高的准确性.
- 在鱼类消费较高的地区,应考虑在成人患者,特别是老年人中使用FIIP.
结论:
- 及时识别穿孔原因和详细的病史至关重要.
- 通过CT扫描等成像指导的早期诊断和治疗对于FIIP的管理至关重要.
- 应根据患者的病情优先考虑最少侵入性治疗策略,临床教育是减少诊断延迟的关键.
相关概念视频
Esophageal Perforation-I: Introduction
167
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
167
Esophageal Perforation-II: Clinical Manifestations and Management
146
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
146
Inflammatory Bowel Disease II: Crohn's Disease
375
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
375
Appendicitis-I: Introduction
614
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
614
Inflammatory Bowel Disease I: Ulcerative Colitis
316
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
316
Chronic Bowel Disorders: Introduction
540
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
540


