由于意外吞牙造成的牙穿孔:一个案例报告
Abdullah H Marei1, Ahmed G Hassan1, Marwan E Makayed2
1General Surgery, Faculty of Medicine, Alexandria University, Alexandria, EGY.
Cureus
|February 9, 2026
概括
意外摄入假牙可能会导致严重的急性腹痛. 这一案例突出了关损伤,阻塞和穿孔,强调了对比度增强的CT扫描和疑似并发症的老年患者的及时手术干预的必要性.
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:
- 意外吞假牙是一种罕见但严重的急性腹部病因.
- 牙损伤可能导致严重的并发症,如肠道阻塞和穿孔.
- 由于假牙的辐射发光性质,诊断是具有挑战性的,通常需要先进的成像.
研究的目的:
- 报告一个罕见的牙假牙损伤病例,导致肠道阻塞和穿孔.
- 强调在这种情况下的诊断挑战和对比度增强CT的重要性.
- 强调对胃肠道中受影响的异物进行及时手术的必要性.
主要方法:
- 一份病例报告,是一名70岁的男性患有牙假牙损伤.
- 审查之前的非对比CT扫描和随后的对比增强CT扫描.
- 外科手术涉及腹腔切除,阴茎切除和解剖.
主要成果:
- 患者在摄入部分假牙后出现了肠道阻塞和穿孔的症状.
- 增强对比度的CT检测出了假牙的金属组成部分,导致了真骨的机械阻塞.
- 紧急手术证实了阴穿孔,需要切除和解剖. 患者康复得很好.
结论:
- 小肠中的牙损伤很少见,但可能导致危及生命的并发症.
- 增强对比度的CT对于诊断放射性外体冲击至关重要.
- 对于受影响的下胃肠外体,迅速的手术干预至关重要,以防止穿孔和其他严重后果.
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