在72个无症状小时后,一个迁徙的骨的直肠冲击:一个解除的定时炸弹
Zhengyuan Cheng1, Jiajun He1, Ying Chen1
1Department of Gastroenterology Maanshan Clinical School of Anhui Medical University (Maanshan People's Hospital) Maanshan Anhui China.
Clinical case reports
|January 22, 2026
概括
一只子骨的72小时无症状迁移导致直肠冲击和严重的门疼痛. 内镜提取成功,强调了饮食史在管理这种外体摄入方面的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 医学案例报告 病例报告
背景情况:
- 摄入利的外来物体,如动物骨头,可能导致胃肠道并发症.
- 症状的延迟呈现是可能的,尽管有穿孔的可能性.
研究的目的:
- 报告一种罕见的子骨导致直肠冲击的病例.
- 讨论直肠内外体摄入的诊断和管理策略.
主要方法:
- 一名72岁的患者在无症状外体摄入72小时后出现了严重的门疼痛.
- 计算机断层扫描 (CT) 扫描证实了没有穿孔的直肠冲击.
- 结肠镜检查显示了纵向冲击,并进行了内镜提取.
主要成果:
- 一个3.3厘米的子骨头通过内镜提取成功被移除.
- 患者在移除后立即经历疼痛缓解.
- 这种有利的结果归因于骨的纵向方向和远端直肠位置.
结论:
- 详细的饮食史对于诊断可能由外体摄入引起的急性门疼痛至关重要.
- 对于无症状的外体摄入,建议采用风险分层管理方法 (监测,内镜检索或手术).
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