Gastric Perforation Caused by Ingested Fish Bone with Successful Endoscopic Removal

魚刺造成胃穿孔成功以內視鏡拔除：病例報告

邱信輝(Hsin-Hui Chiu) ； 黃正強(Cheng-Chiang Huang) ； 許友國(Joe Hergens Li)

《南臺灣醫學雜誌》 3卷3期 (2007/12) Pp. 139-142

https://doi.org/10.6726/MJST.200712_3(3).0004

摘要

我們報告一例54歲男性病患因吞入魚刺造成胃穿孔而引起厲害之上腹痛。入院時腹部X光在左上腹有一長條形鈣化病竈，但起初在臨床上並未被發現。之後，胃鏡檢查發現有一魚刺插在胃之幽門部且大約有1.5公分突出胃之管腔中，此魚刺最後以息肉切除之套環成功拔除，用尺測量有3.5公分長。當魚刺拔除後，胃穿孔處並無出血之情形，也無腹膜炎及腹水之產生。經支持性療法及禁食，病人症狀完全改善在住院第4天出院且出院後一個月內追蹤並無腹痛之情形再發。

關鍵字

魚刺 ； 穿孔 ； 胃

並列摘要

We described herein a 54-year-old male with gastric perforation secondary to an ingested fish bone presenting with marked pain in the epigastric area. Plain abdominal film revealed a radiopaque object in the left upper quadrant, but it was missed clinically. Subsequently an upper gastrointestinal endoscopy was performed revealing a fish bone embedded in the antrum of the stomach with a 1.5-cm free end in the gastric lumen. The fish bone measuring 3.5 cm in length was successfully removed using a polypectomy snare. No evidence of bleeding was found from the perforating site of the stomach after extraction of the impacted fish bone. Subsequently, no peritoneal sign was found and abdominal ultrasound showed no ascites. After conservative treatment, the patient was discharged on the 4th hospital day. There was no recurrence of abdominal pain after one-month follow-up.

並列關鍵字

fish bone ； perforation ； foreign body ； stomach