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一个利的植物茎导致终端叶孔隙,临床表现类似于急性尾炎:一个病例报告
Pirada Yincharoen1, Weeratian Tawanwongsri2
1Department of Surgery, School of Medicine, Walailak University, Nakhon Si Thammarat, Thailand.
Frontiers in medicine
|December 15, 2025
概括
摄入植物物质可能会导致小肠穿孔,模仿尾炎. 一个案例报告详细介绍了一块来自Gnetum gnemon的木制碎片,导致叶孔,突出显示了成像的局限性.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 医疗成像医学成像
背景情况:
- 摄入植物物质是小肠穿孔的不常见原因.
- 临床表现可以模仿急性尾炎,这给诊断带来了挑战.
研究的目的:
- 报告一个由摄入的植物物质引起的小肠穿孔病例.
- 突出在这种情况下成像的诊断局限性.
- 为在特定地区因摄入植物物质而导致的急性腹部的文献做出贡献.
主要方法:
- 一个40岁的泰国男子的病例报告,右下象限疼痛.
- 诊断工作包括实验室测试和对比增强计算机断层扫描 (CT).
- 探索性腹腔切除术是由于尽管有模两可的成像,但仍然存在持续的腹腔瘤.
主要成果:
- 扫描图显示尾略扩大,但没有明显的异物或穿孔迹象.
- 探索性腹腔切除术揭示了终端骨中来自*Gnetum gnemon*的2.5厘米木制碎片,导致穿孔.
- 碎片被移除,质缺陷被修复,并进行了尾切除术,术后过程没有复杂.
结论:
- 这一案例强调了传统成像在诊断小肠穿孔的局限性,从摄入的外体.
- 在急性腹部的差异诊断中,应考虑摄入植物材料,特别是在这种食物很常见的地区.
- 当临床怀疑高尽管非诊断成像时,可能需要迅速的外科干预.
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