背景:在有心理健康问题的患者中,可能会无意识或有意地发现异物的摄入。大多数病例缓慢通过食道;然而,在某些情况下,肿瘤可能位于消化道的较窄区域,需要内窥镜或手术干预。这项研究描述了在阿瓦士伊玛目霍梅尼医院通过摄入异物从一名36岁男子的胃中成功取出450多件金属物体的罕见案例。
方法:一名36岁男性患者(雅利安种族)出现慢性腹痛的主诉,频繁呕吐,对液体和食物不耐受。患者的同伴提到3个月前逐渐摄入小金属物体的历史。患者意识清醒,生命体征稳定。在病人的X光和内窥镜检查中,观察到患者胃内的多个金属物体,导致胃出口梗阻.病人接受了胃造口术,和452个螺丝,坚果,钥匙,石头,和其它重2900克的金属部件从胃中取出。手术五天后,病人在良好的一般情况下被转移到精神科服务,并被诊断患有精神病,她的病情在随访中恢复正常。
结论:这种异物的成功切除是罕见的。在慢性腹痛中,特别是在精神疾病的背景下,应注意摄入异物。吞咽大量尖锐的金属异物时,手术干预是必要的,尤其是在阻塞的情况下,挽救病人的生命.
BACKGROUND: Ingestion of foreign bodies may be seen unconsciously or intentionally in patients with mental health problems. Most cases pass through the esophagus slowly; however, in some cases, the tumor may be located in narrower areas of the digestive tract that require endoscopic or surgical intervention. This study describes a rare case of successful removal of more than 450 pieces of metal objects from the stomach of a 36-year-old man via ingestion of foreign bodies at Imam Khomeini Hospital in Ahvaz.
METHODS: A 36-year-old male patient (Aryan race) presented with complaints of chronic abdominal pain, frequent vomiting, and intolerance to liquids and food. The patient\'s companions mentioned a history of gradual ingestion of small metal objects 3 months prior. The patient was conscious and had stable vital signs. In the patient\'s X-ray and endoscopy, multiple metal objects inside the patient\'s stomach were observed, causing gastric outlet obstruction. The patient underwent gastrostomy surgery, and 452 screws, nuts, keys, stones, and other metal parts weighing 2900 g were removed from the stomach. Five days after the operation, the patient was transferred to the psychiatric service in good general condition and was diagnosed with psychosis, and her condition returned to normal at follow-up.
CONCLUSIONS: Successful removal of this foreign body is rare. In chronic abdominal pain, especially in the context of psychiatric disorders, attention should be given to the ingestion of foreign bodies. In swallowing large amounts of sharp and metallic foreign objects, surgical intervention is necessary, especially in cases of obstruction, and saves the patient\'s life.