魚骨呑入引發腹壁膿瘍：病例報告及文獻回顧

Ingestion of a Fish Bone Complicated by Abdominal Abscess: A Case Report and Literature Review

楊傳文(Por-Wen Yang) ； 楊菁華(Chin-Hua Yang) ； 鄭舒倖(Shu-Hsing Cheng) ； 吳敬堂(Ching-Tang Wu) ； 羅世慧(Su-Huey Lo)

《中華民國急救加護醫學會雜誌》 17卷2期 (2006/06) Pp. 81-85

https://doi.org/10.30018/JECCM.200606.0006

摘要

我們提出一例魚骨呑入，穿過腸壁並移走至腹壁形成腹壁膿瘍之病例報告。一位四十歲男性病患因左下腹腫塊一週而至本院就醫。腹部電腦斷層掃描顯示腹壁中有一異物並形成膿瘍。該病患隨後接受膿瘍切除引流手術，並取出此異物，證實是魚骨。診視不明原因腹痛或不明原因腹壁膿瘍之病患時，應將異物吞入列為鑑別診斷中的少數原因之一；異物造成腸胃道穿孔時，若未出現腹膜炎徵候可能不易診斷，電腦斷層掃描有助於此類病患之術前診斷，並訂定適當的治療計畫。

關鍵字

魚刺 ； 腹壁膿瘍 ； 腸胃道穿孔 ； 電腦斷層掃描

並列摘要

We report a case of small intestine penetration by a fishbone with migration to the abdominal wall and abscess formation. A 40-year-old man visited our hospital with the chief complaint of a painful left lower abdominal mass for one week. An abdominal computed tomography (CT) scan revealed a foreign body located in the abdominal wall with abscess formation. An operation was therefore performed and a fish bone was retrieved. Foreign body ingestion should be considered as a rare cause of abdominal pain or abscess of the abdominal wall. A perforation of the gastrointestinal tract by an ingested foreign body is difficult to accurately and quickly diagn ose when no peritonitis is observed. CT scanning may provide a preoperative diagnosis and allow an appropriate therapeutic approach.

並列關鍵字

fish bone ； abdominal wall abscess ； gastrointestinal perforation ； computed tomography scan