Omental Inflammatory Mass Secondary to a Migrating Fish Bone: A Case Report

遊移的魚骨引起的大網膜發炎性腫塊：病例報告

倪宗亨(Chung-Hunk Nee) ； 黃敬文(Ching-Wen Huang) ； 周士程(Shih-Cheng Chou)

《中華民國急救加護醫學會雜誌》 22卷1期 (2011/03) Pp. 40-48

https://doi.org/10.30018/JECCM.201103.0004

摘要

大多數吞入的魚骨會經由腸胃道順利排出，而無嚴重的併發症。大網膜的發炎性疾病通常是由腹腔內的疾病所引起的，例如大腸憩室炎、大網膜扭轉和梗塞、及腸胃道穿孔。我們報告一位63歲女性因左下腹疼痛兩個月而至本院就醫。腹部電腦斷層掃描顯示左下腹有一個大網膜發炎性腫塊，裡面有一高亮度異物。術中發現一個大網膜發炎性腫塊，並將其整個完全切除，而且無任何腸胃道穿孔發生。術後病理報告證實有一魚骨在大網膜內。

關鍵字

大網膜 ； 發炎性腫塊 ； 遊移的 ； 魚骨

並列摘要

Most ingested fish bones pass through the gastrointestinal tract without major complications. Migration of an ingested sharp fish bone from the site of entry into the surrounding soft tissue is a rare complication. Inflammatory diseases of the omentum are usually caused by intra-abdominal conditions, such as colon diverticulitis, omental torsion and infarction, and bowel perforation. We report a 63-year-old woman who suffered from intermittent dull abdominal pain over the left lower quadrant for about 2 months. Abdominal computed tomography revealed an omental inflammatory mass with a foreign body. An omental inflammatory mass with abscess was noted during laparotomy, and was excised totally. No gastrointestinal tract perforation was noted. Pathology examination confirmed a fish bone in the omental inflammatory mass. The post-operative course was uneventful. The patient was discharged on the 6(superscript th) day after the operation.

並列關鍵字

omentum ； inflammatory mass ； migrating ； fish bone