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相關文獻
- Phytobezoar-Induced Small Bowel Obstruction: Report of a Case
- Duodenal Obstruction Secondary to Phytobezoar in a Child: Surgically Removed Via Gastrotomy
- The Operative Management of Small Bowel Obstruction in Patients with Previously Treated Colorectal Carcinoma
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- Persimmon Phytobezoar as the Cause of Small Bowel Obstruction
- Gastric Bezoars Induced Esophageal and Small Intestine Obstructions: Report of a Case
- 間歇性小腸阻塞併有氮血症
頁籤選單縮合
題名 | Phytobezoar-Induced Small Bowel Obstruction: Report of a Case=植物性糞石引起之小腸阻塞:一病例報告 |
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作者 | 夏效中; 熊立楷; 吳文勇; 關寶祥; 黃蔚; | 書刊名 | 中華民國消化系醫學雜誌 |
卷期 | 15:4 1998.12[民87.12] |
頁次 | 頁35-39 |
分類號 | 415.552 |
關鍵詞 | 植物性糞石; 小腸阻塞; Phytobezoar; Small bowel obstruction; |
語文 | 英文(English) |
中文摘要 | 小腸阻塞最常見的原因包括腹膜黏連、紋窄性疝氣、或鄰近的腫瘤壓迫小腸所致 。因植物性糞石所引起之小腸阻塞在急性腹痛的患者中則相當少見。大多數植物性糞石的生 成與患者食用柿子有關;尤其是以那些曾經接受過農部手術或患有系統性疾病合併自主神經 病變及胃排空時間延長的患者為然。我們報告一位 59 歲女性患者,因為肚臍周圍疼痛、嘔 吐及五天未解大便住院。患者過去健康情形良好,在住院前半年內也沒有吃過柿子。小腸鋇 劑攝影檢查顯在距離 Treitz 韌帶以下約 80 公分處的中段空腸有機械性阻塞。患者因內科 治療失敗而接受剖腹探查, 結果發現一個 8x3x3 公分大的糞石位於與小腸鋇劑檢查相吻合 的阻塞部位,並經由腸切開術將之取出。患者經過手術治療後病情穩定而出院。在本文中我 們將提出植物性糞石引起之腸胃道阻塞的各種治療策略,對於容易發病的患者,我們也提出 一些預防的方法。 |
英文摘要 | The niosr common causes of the small bowel obstruction are adhesive bands. incarcerated hernia and adjacent tumor. Small bowel obstruction caused by plnytobezoars, however, is quite uncommon in patients suffering from acute abdomen. Most phvtobezoar formation is related to the patient's ingestion of persimmon, especially those with previous gastric surgery, autonomic neuropathy or delayed gastric emptying time. We report a 59-year-old female patient admitted due to periumbilical pain. vomiting and no stool passage for 5 davs. She was well in the past and had never eaten persimmon for at least half a year prior to admission. Small bowel barium meal examination revealed a mechanical obstruction over middle jejunum about 80cm below Treitz's ligament. The patient underwent exploratory laparotomv after failure of medical treatment. A bezoar. 8x3x3cm ill size. was lodged and extracted via enterotomv over the compatible obstruction site of barium meal examination. Pathology result confirmed the bezoar to be a phvtohezoar: After surgical treatment, the patient was discharged in a stable condition. This case report will attempt to present the treatment strategy of phytobezoar-induced gastrointestinal obstruction and propose certain measures for the prevention of phytobezoar formation in vulnerable patients. |
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