TY - JOUR A2 - Sugimura, Haruhiko AU - Saigusa, Susumu AU - Ohi, Masaki AU - Imaoka, Hiroki AU - Shimura, Tadanobu AU - Uratani, Ryo AU - Inoue, Yasuhiro AU - Kusunoki, Masato PY - 2014 DA - 2014/09/02 TI-不认识长时间的保留胶囊内窥镜检查:医疗机构SP -909360 VL -2014 AB之间的仔细跟进和合作的重要性内窥镜检查(CE),显示出小肠溃疡。CE 5个月后,他由于复发性贫血而没有腹部症状。腹部X射线和计算机断层扫描显示骨盆腔的小肠中胶囊保留率。胶囊在同一位置保留7天。我们通过腹腔镜辅助手术进行了胶囊检索,并切除了所涉及的小肠,包括肠狭窄。切除的标本显示出具有不同形态的双溃疡,具有狭窄的溃疡和其他侧面的溃疡。每个溃疡都有不同的组织病理学发现,例如纤维化和单核细胞浸润程度。这些差异使我们认为近端溃疡可能是由胶囊保留率引起的。 Our experience indicated that careful follow-up and the cooperation between medical institutions after CE examination should be undertaken for patients with incomplete examination, unknown excretion of the capsule, and/or ulcerative lesions despite the lack of abdominal symptoms. Additionally, a retained CE remaining over long periods and at the same place in the small intestine may lead to secondary ulceration. SN - 2090-6528 UR - https://doi.org/10.1155/2014/909360 DO - 10.1155/2014/909360 JF - Case Reports in Gastrointestinal Medicine PB - Hindawi Publishing Corporation KW - ER -