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隐藏的腹膜炎由于胃孔从鱼耳骨:一个案例报告
Matthew E Falagas1,2,3, Laura T Romanos1, Annabel Hopkins4
1Alfa Institute of Biomedical Sciences (AIBS), 151 23 Marousi, Athens, Greece.
Reports (MDPI)
|December 24, 2025
概括
摄入鱼耳石,碳酸结构,可以导致胃肠道穿孔和感染. 通过CT扫描及时诊断,内镜切除和抗生素对成功治疗至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 摄入外体可能导致胃肠道穿孔.
- 食道穿孔可能导致中炎,而胃和肠道穿孔可能导致周周炎.
研究的目的:
- 报告一例由鱼耳骨造成的胃肠穿孔病例.
- 突出这一罕见疾病的诊断和管理策略.
主要方法:
- 一名64岁的男性出现腹痛和发烧,表明炎症.
- 计算机断层扫描 (CT) 扫描揭示了外体对胃柱体的穿孔以及相邻的腹膜炎.
- 上部胃肠道内镜成功地去除了异物.
主要成果:
- 一个3.9厘米的鱼耳石,被确定为海的耳骨,从胃中取出.
- 患者接受了静脉注射的安皮西林/苏尔巴克坦治疗感染.
- 在门诊随访期间,症状和感染完全消失.
结论:
- 摄入鱼耳石是胃肠道穿孔和腹腔内感染的潜在原因.
- 早期诊断使用腹部成像 (CT扫描),通过内镜去除异物,以及广泛的抗生素是成功管理的必要条件.
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