上部食道中的双硬币模仿一个按电池:一个案例报告
Reem M Althwanay1,2, Abdullah S Alkhaldi1,2, Abdullah F AlKarni1,2
1Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
AME case reports
|November 10, 2025
概括
儿童堆叠的硬币可以模仿X射线上的按电池,造成诊断挑战. 紧急食管镜检查对于症状外体摄入 (FBI) 非常重要,以防止食管损伤.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 放射学 放射学是一门学科.
- 紧急医疗 紧急医疗
背景情况:
- 外体摄入 (FBI) 是一个常见的儿科紧急情况.
- 硬币是儿童最常摄入的物体.
- 在堆叠的硬币和按电池之间进行放射分辨可能具有挑战性.
研究的目的:
- 为了描述一个堆叠的硬币模仿一个按电池在X光学上的案例.
- 突出诊断的挑战和这种情况下的管理.
- 强调在有症状的外体摄入时及时干预的重要性.
主要方法:
- 一个8岁男孩的病例报告显示,他出现了上部食道阻塞的症状.
- 放射评价显示了双边或"光环"标志.
- 紧急食管镜检查以诊断和去除异物体.
- 术后计算机断层扫描血管造影 (CTA) 排除血管损伤.
主要成果:
- 消化管检查显示了两个堆叠的硬币,而不是一个按电池.
- 观察到显著的食道粘膜损伤 (死和).
- 没有检测到食道穿孔或血管损伤.
- 通过保守的治疗和粘膜愈合,患者康复了.
结论:
- 堆叠的硬币可以在放射学上模仿按电池,这带来了诊断困境.
- 食道损伤甚至可以发生在像硬币这样的惰性异物中.
- 在有症状的外体摄入时,即时内镜干预至关重要,不论物体的性质如何.
- 仔细的放射性解释和横向成像可以帮助准确的诊断和管理.
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