Three-dimensional computed tomography reconstruction diagnosed digestive tract perforation and acute peritonitis caused by Monopterus albus:A case report

作     者：Jin-Han Yang Jin-Ying Lan An-Yuan Lin Wei-Biao Huang Jin-Yuan Liao 

作者机构：Department of RadiologyGuiping People’s HospitalGuigang 537200Guangxi Zhuang Autonomous RegionChina Department of RadiologyThe First Affiliated Hospital of Guangxi Medical UniversityNanning 530021Guangxi Zhuang Autonomous RegionChina 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2023年第15卷第10期

页      面：2351-2356页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Digestive tract perforation Acute peritonitis Monopterus albus Three-dimensional computed tomography reconstruction Case report 

摘      要：BACKGROUND Few reports have described living foreign bodies in the human *** current manuscript demonstrates that computed tomography(CT)is an effective tool for accurate preoperative evaluation of living foreign bodies in *** threedimensional(3D)reconstruction technology could clearly display anatomical structures,lesions and adjacent organs,improving diagnostic accuracy and guiding the surgical decision-making *** SUMMARY Herein we describe a 68-year-old man diagnosed with digestive tract perforation and acute peritonitis caused by a foreign body of Monopterus *** patient pre-sented to the emergency department with complaints of dull abdominal pain,profuse sweating and a pale complexion during work.A Monopterus albus had entered the patient’s body through the anus two hours *** hospitalization,the 3D reconstruction technology revealed a perforation of the middle rectum complicated with acute peritonitis and showed a clear and complete Monopterus albus bone morphology in the abdominal and pelvic cavities,with the Monopterus albus biting the *** examination detected a large(diameter of about 1.5 cm)perforation in the *** could be seen that a Monopterus albus had completely entered the abdominal cavity and had tightly bitten the mesentery of the small *** the operation,the dead Monopterus albus was taken *** The current manuscript demonstrates that CT is an effective tool for accurate preoperative evaluation of living foreign bodies in clinic.