Small Bowel Obstruction Caused by a Rare Foreign Body: A Case Report and Literature Review.

IF 1.1 4区医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Current Medical Imaging Reviews Pub Date : 2024-08-29 DOI:10.2174/0115734056339263240826103827

Jia-Qiang Lai, Yan-Neng Xu

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引用次数: 0

Abstract

Background: Ingestion of gastrointestinal foreign bodies (FB) is a common clinical problem worldwide. Approximately 10-20% of FBs require an endoscopic procedure for removal, and < 1% require surgery.

Case description: An 89-year-old male with Alzheimer's disease was hospitalized because of abdominal pain, abdominal distention, vomiting for three days, and cessation of bowel movements for six days. Abdominal computed tomography (CT) scan showed a small intestinal obstruction and an atypical FB in the small intestine. A pill and remaining plastic casing were removed from the small intestine during surgery. FB is a square with four sharp acute angles at its edge. The patient was discharged after two weeks of treatment, and no recurrence or complications were observed during the 6- month follow-up.

Conclusion: Atypical intestinal FBs may cause misdiagnosis and easily lead to serious complications. Therefore, an appropriate radiological examination, such as CT, is necessary for unexplained intestinal obstruction. Symptomatic intestinal FBs should be actively removed to avoid serious complications.

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罕见异物导致的小肠梗阻：病例报告与文献综述

背景：摄入胃肠道异物（FB）是全球常见的临床问题。约有 10-20% 的异物需要通过内窥镜手术取出，而需要手术取出的异物不到 1%：一名患有阿尔茨海默病的 89 岁男性因腹痛、腹胀、呕吐三天，停止排便六天而住院。腹部计算机断层扫描（CT）显示小肠梗阻和小肠内的非典型 FB。手术中从小肠中取出了一颗药丸和剩余的塑料外壳。FB 是一个正方形，边缘有四个尖锐的锐角。患者在治疗两周后出院，6 个月的随访期间未发现复发或并发症：结论：非典型肠道 FB 可能导致误诊，并容易引发严重并发症。因此，对于不明原因的肠梗阻，有必要进行适当的放射检查，如 CT。有症状的肠道 FB 应积极切除，以避免出现严重并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Medical Imaging Reviews 医学-核医学

CiteScore

2.60

自引率

0.00%

发文量

246

审稿时长

1 months

期刊介绍： Current Medical Imaging Reviews publishes frontier review articles, original research articles, drug clinical trial studies and guest edited thematic issues on all the latest advances on medical imaging dedicated to clinical research. All relevant areas are covered by the journal, including advances in the diagnosis, instrumentation and therapeutic applications related to all modern medical imaging techniques. The journal is essential reading for all clinicians and researchers involved in medical imaging and diagnosis.