Ameh E A, Nmadu P T
Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
East Afr Med J. 2001 Nov;78(11):619-20. doi: 10.4314/eamj.v78i11.8955.
This is a report of two children aged twenty seven months and six years respectively presenting with gastrointestinal obstruction from phytobezoar. In the 27-month old child, laparotomy and gastrotomy was performed to evacuate the bezoar. However, death occurred from hypokalaemia. The six-year old child had a sacro-abdomino-perineal pull through for anorectal malformation previously and the bezoar lodged just above the neoanus. Neoanal dilatation allowed removal of the bezoar and relief of the obstruction. There has been no recurrence. The literature on bezoar is briefly reviewed.
本文报告了两名分别为27个月和6岁的儿童，他们均因植物性胃石导致胃肠道梗阻。对于27个月大的患儿，进行了剖腹术和胃切开术以清除胃石。然而，患儿死于低钾血症。6岁的患儿此前因肛门直肠畸形接受了骶腹会阴拖出术，胃石嵌顿于新肛门上方。通过新肛门扩张术成功取出胃石，解除了梗阻，且未出现复发情况。本文还对胃石的相关文献进行了简要综述。
