Zusammenfassung
Das Verschlucken scharfer Fremdkörper ist eine seltene, aber potenziell lebensbedrohliche Notfallsituation. Wir berichten von einer 61-jährigen Patientin mit kolikartigen Oberbauchbeschwerden, bei der nach initial unauffällig bewerteter konventioneller radiologischer Bildgebung in der abdominellen Computertomographie ein perforierender Fremdkörper im präpylorischen Antrum nachgewiesen werden konnte. Im Rahmen der nachfolgenden Gastroskopie konnte der Fremdkörper ohne Sekundärschäden geborgen werden. Die Notfallbehandlung, die Bildgebung und die Bergung des Fremdkörpers werden diskutiert.
Abstract
Ingestion of sharp foreign bodies is a rare but potentially fatal emergency situation. We report the case of a 61-year-old female patient with colic-like abdominal pains. Even though initial plain X-rays did not show any abnormal findings an abdominal computed tomography scan revealed a perforating foreign body in the prepyloric antrum. The foreign body was removed without any further complications during upper endoscopy. The emergency situation, the imaging studies and the removal of the foreign body are discussed.
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Literatur
Arana A, Hauser B, Hachimi-Idrissi S, Vandenplas Y (2001) Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr 160:468–472
Brady PG (1991) Esophageal foreign bodies. Gastroenterol Clin North Am 20:691–701
Conway WC, Sugawa C, Ono H, Lucas CE (2007) Upper GI foreign body. An adult urban emergency hospital experience. Surg Endosc 21:455–460
Mandava N, Chang RS, Wang JH et al (2011) Establishment of a definitive protocol for the diagnosis and management of body packers (drug mules). Emerg Med J 28:98–101
Eisen GM, Baron TH, Dominitz JA et al (2002) Guideline for the management of ingested foreign bodies. Gastrointest Endosc 55:802–806
Goh BKP, Chow PKH, Quah HM et al (2006) Perforation of the Gastrointestinal Tract Secondary to Ingestion of Foreign Bodies. World J Surg 30:372–377
Henderson CT, Engel J, Schlesinger P (1987) Foreign body ingestion: review and suggested guidelines for management. Endoscopy 19:68–71
Hodge D 3rd, Tecklenburg F, Fleisher G (1985) Coin ingestion: does every child need a radiograph? Ann Emerg Med 14:443–446
Loewenhardt B, Hofmann E, Manke C (2010) Bildgebende Diagnostik für Intensiv- und Notfallmediziner: „Es wird mal kurz hell“ – Teil 1: Thorax und Abdomen. Intensiv Notfallbehandlung 35:125–138
Pinero Madrona A, Fernández Hernández JA, Carrasco Prats M et al (2000) Intestinal perforation by foreign bodies. Eur J Surg 166:307–309
Mehran A, Pdkameni D, Rosenthal R, Szomstein S (2005) Gastric perforation secondary to ingestion of a sharp foreign body. JSLS 9:91–93
Palta R, Sahota A, Bemarki A et al (2009) Foreign-body ingestion: characteristics and outcomes in a lower socioeconomic population with predominantly intentional ingestion. Gastrointest Endosc 69:426–343
Rösch W, Classen M (1972) Fiber endoscopic foreign body removal from the upper gastrointestinal tract. Endoscopy 4:193
Schroepfer E, Siauw C, Hoecht B, Meyer T (2010) Dünndarmperforation durch Magnetspielzeug. Zentralbl Chir 135:270–272
Williams C, McHenry CR (2004) Unrecognized foreign body ingestion: an unusual cause for abdominal pain in a healthy adult. Am Surg 70:982–984
Zhang S, Cui Y, Gong X et al (2010) Endoscopic management of foreign bodies in the upper gastrointestinal tract in South China: a retrospective study of 561 cases. Dig Dis Sci 55:1305–1312
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Kirsch, M., Bender, S., Loewenhardt, B. et al. Scharfe Ursache kolikartiger Bauchschmerzen. Notfall Rettungsmed 14, 669–672 (2011). https://doi.org/10.1007/s10049-011-1475-3
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DOI: https://doi.org/10.1007/s10049-011-1475-3