小肠镜诊治因牙签误诊为肿瘤引起的腹痛一例

doi:10.3877/cma.j.issn.1674-0785.2021.04.016

中华临床医师杂志(电子版) ›› 2021, Vol. 15 ›› Issue (04) : 319 -320. doi: 10.3877/cma.j.issn.1674-0785.2021.04.016

病例报告

小肠镜诊治因牙签误诊为肿瘤引起的腹痛一例

杨真真¹, 汤超涛¹, 曾春艳¹, 祝荫¹, 陈幼祥¹^,^†(

)

^1. 330006　南昌，南昌大学第一附属医院消化内科

收稿日期:2020-12-02 出版日期:2021-04-15
通信作者: 陈幼祥

Diagnosis and treatment of abdominal pain caused by misdiagnosis of toothpick as tumor by colonoscopy

Zhenzhen Yang¹, Chaotao Tang¹, Chunyan Zeng¹

Received:2020-12-02 Published:2021-04-15

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杨真真, 汤超涛, 曾春艳, 祝荫, 陈幼祥. 小肠镜诊治因牙签误诊为肿瘤引起的腹痛一例[J]. 中华临床医师杂志(电子版), 2021, 15(04): 319-320.

Zhenzhen Yang, Chaotao Tang, Chunyan Zeng. Diagnosis and treatment of abdominal pain caused by misdiagnosis of toothpick as tumor by colonoscopy[J]. Chinese Journal of Clinicians(Electronic Edition), 2021, 15(04): 319-320.

图1 因牙签误诊为肿瘤引起的腹痛患者影像学检查及异物取出情况。图a为腹部CT见十二指肠水平部肠壁稍增厚毛糙，增强扫描黏膜强化明显，周围脂肪间隙模糊，并见多发稍大淋巴结影；图b为单气囊小肠镜检查见十二指肠水平部右侧一小团块状淡黄色隆起，似为异物；图c为活检钳夹住异物后退至外套管内，连同外套管一起退镜；图d为取出异物（牙签），长约7 cm

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