内視鏡的に摘出した爪楊枝誤飲による胃穿孔の１例

DOI 被引用文献3件 参考文献8件

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  • A CASE OF GASTRIC PERFORATION BY ACCIDENTAL INGESTION OF A TOOTHPICK SUCCESSFULLY REMOVED WITH ENDOSCOPE

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A 71-year-old woman was admitted to our hospital with epigastric pain. Serological test revealed slight inflammation. X rays of the breast and abdomen did not revealed abnormal findings such as free air in the peritoneal cavity. Urgent upper gastrointestinal endoscopy showed a toothpick sticking in the gastric wall of the lesser curvature of the pylorus. Abdominal ultrasonography and computed tomography revealed the gastric perforation with the toothpick and regional peritonitis, but there was no visceral injury around the stomach. The toothpick was removed successfully and safely via an endoscope with polypectomy snare. She was treated conservatively by nasogastric intubation and administration of antibiotics.

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