老年人鳗鱼致乙状结肠穿孔1例

中华老年医学杂志 Pub Date : 2019-10-14 DOI:10.3760/CMA.J.ISSN.0254-9026.2019.10.027

Guogang Wu, Zhaorun Liu, Minghui Wang, Jisheng Liu, M. Leng

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引用次数: 0

摘要

患者，男，80岁，入院2 h前为寻求性快感将鳝鱼置入肛门，自觉下腹部撕裂样疼痛，难以忍受，伴有心慌、胸闷、呼吸急促、四肢冰冷等症，多次试取，均未成功，急来我院就诊。腹部CT重建：(1)考虑乙状结肠穿孔；(2)盆腔内异物，结合病史考虑为鳝鱼。心电图及各项抽血化验未见明显异常。入院诊断：(1)急性腹膜炎、乙状结肠穿孔？(2)盆腔内异物。急诊在全麻下行腹腔镜下腹腔探查＋鳝鱼取出＋乙状结肠穿孔修补术，术后5 d逐步恢复饮食，间断排便，术后7 d拔出引流管，术后9 d切口拆线，病愈出院。

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Perforation of sigmoid colon caused by an eel in the elderly: a rare case report

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