病例报告:牙科手术后医源性肠穿孔。

Journal of education & teaching in emergency medicine Pub Date : 2025-07-31 eCollection Date: 2025-07-01 DOI:10.21980/J8CD38
Claire DeLong, Frederick Fiesseler
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引用次数: 0

摘要

在急诊医学中,腹痛是一种常见的主诉,具有广泛的鉴别诊断。我们报告一个42岁的男性的情况下,提出了两天进行性恶化左下腹(LLQ)疼痛。腹部的CT扫描显示有一个小的金属异物。考虑到可能摄入金属丝烧烤刷片,患者没有摄入任何烧烤食物,因为这是推测的病因。考虑到明显的疼痛和相关的计算机断层扫描(CT)结果,患者被送往手术室。一根2厘米长的金属丝穿过了他的小肠。病人记得最近去看他的正畸医生,那次很平静。正畸手术的并发症是罕见的,通常是良性的。我们报告一个不寻常的病例医源性小肠穿孔从弓丝。病人完全康复了。主题:正畸,肠穿孔,医源性,弓丝。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Case Report: Iatrogenic Bowel Perforation Following Dental Procedure.

Abdominal pain is a common complaint in emergency medicine, with a vast differential diagnosis. We report a case of a 42-year-old male presenting with two days of progressively worsening left lower quadrant (LLQ) pain. A CT scan of the abdomen demonstrated a small metallic foreign body. The patient had not ingested any grilled food, since this was the speculated etiology, given the concern for potentially ingesting a wire grill brush piece. Considering the significant pain and associated computer tomography (CT) findings, the patient was taken to the operating room. A 2 cm piece of metal wire was found perforating his small intestines. The patient remembered a recent visit to his orthodontist which was uneventful. Complications from orthodontic procedures are rare and typically benign. We report an unusual case of an iatrogenic small bowel perforation from an archwire. The patient had a full recovery.

Topics: Orthodontist, bowel perforation, iatrogenic, archwire.

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