Intestinal Perforation by a Fish Bone Causing an Abscess: Report of Two Cases

魚刺造成腸穿孔併發膿瘍：二病例報告

李晉賢(Chin-Hsien Li) ； 白明忠(Ming-Jong Bair) ； 張文熊(Wen-Hsiung Chang) ； 林錫泉(Shee-Chan Lin) ； 陳志仁(Chih-Jen Chen) ； 陳杉隆(San-Long Chen) ； 江瑞安(Ruey-An Chiang) ； 彭國權(Kwok-Kuen Pang) ； 陳瑜珍(Yu-Jan Chen)

《臺灣消化醫學雜誌》 23卷2期 (2006/06) Pp. 138-143

https://doi.org/10.6557/GJT.200606_23(2).0004

摘要

腸內異物造成膿瘍併發症之發生率並不清楚，但是這種情形似乎是相當少見。我們報告兩個因魚刺造成腸穿孔而引起膿瘍之案例。這兩位病人皆以反覆性腹痛表現，一位為酗酒者，而另一位為老人，是屬於意外吞食異物之高危險群。他們皆不記得有吞食過魚刺，且腹部X光片在診斷上並沒有幫助，然而腹部電腦斷層掃描上卻顯現出有一根尖銳的異物在他們體內。於是這兩位病患接受剖腹手術，且皆發現有膿瘍。這是吞食魚刺少見的併發症，也是當病患有無法解釋的腹部疼痛時，可能值得我們臨床醫師記住的一個疾病。

關鍵字

胃腸道異物 ； 魚刺 ； 腸穿孔 ； 膿瘍

並列摘要

The incidence of abscess complicating a gastrointestinal foreign body is unknown, but the condition appears to be relatively rare. We report two cases of intestinal perforation by a fish bone that resulted in an abscess. Both patients, who presented with intermittent abdominal pain, were at high risk for accidental foreign body ingestion as one abused alcohol and the other was elderly. Neither remembered swallowing a fish bone. Abdominal x-rays were unhelpful in the diagnosis, but abdominal CT scans demonstrated a sharp foreign body in both cases. Both patients underwent laparotomy and were found to have abscesses. This is a rare complication of fish bone ingestion, a possibility worth remembering when a patient presents with unexplained abdominal pain.

並列關鍵字

gastrointestinal foreign body ； fish bone ； intestinal perforation ； abscess