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因吞食石膏导致的胃肠道梗阻:一例病例报告。

Gastrointestinal obstruction due to plaster ingestion: a case-report.

作者信息

Yegane Rooh-Allah, Bashashati Mohammad, Bashtar Reza, Ahmadi Mina

机构信息

Department of Surgery, Loqman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

BMC Surg. 2006 Feb 16;6:4. doi: 10.1186/1471-2482-6-4.

DOI:10.1186/1471-2482-6-4
PMID:16483375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1386707/
Abstract

BACKGROUND

Plaster ingestion forming gastric bezoar is a strange way to attempt suicide and this method has not yet been reported. It may lead to a mechanical obstruction of the gut, especially the pyloric region, and could manifest with abdominal pain, epigastric distress, nausea, vomiting, and fullness.

CASE PRESENTATION

Herein we report a case of a 37 year-old woman presenting with plaster ingestion and gastric outlet obstruction, who underwent surgery. At six months follow-up the patient was fully recovered.

CONCLUSION

Plaster has no toxic or erosive effects. Endoscopic or surgical removing of such material is recommended. Moreover, psychiatric intervention and management is imperative to prevent recurrence in such cases.

摘要

背景

吞食石膏形成胃石是一种罕见的自杀方式,目前尚未见相关报道。它可能导致肠道机械性梗阻,尤其是幽门区域,可表现为腹痛、上腹部不适、恶心、呕吐和饱胀感。

病例报告

在此,我们报告一例37岁女性吞食石膏并导致胃出口梗阻的病例,该患者接受了手术治疗。随访6个月时,患者已完全康复。

结论

石膏无毒蚀作用。建议通过内镜或手术取出此类物质。此外,对于此类病例,必须进行心理干预和管理以防止复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fd/1386707/bcdf02a6de4f/1471-2482-6-4-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fd/1386707/dd56f0241f04/1471-2482-6-4-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fd/1386707/bcdf02a6de4f/1471-2482-6-4-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fd/1386707/dd56f0241f04/1471-2482-6-4-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fd/1386707/bcdf02a6de4f/1471-2482-6-4-2.jpg

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本文引用的文献

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Gastrointestinal bezoars: a retrospective analysis of 34 cases.胃肠道粪石:34例回顾性分析
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Cotton Bezoar--a rare cause of intestinal obstruction: case report.棉粪石——肠梗阻的罕见病因:病例报告
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Esophageal and small bowel obstruction by occupational bezoar: report of a case.职业性胃石致食管和小肠梗阻:1例报告
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Emerg Radiol. 2008 Sep;15(5):357-9. doi: 10.1007/s10140-007-0684-z. Epub 2007 Nov 29.
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Trichobezoar obstructing the terminal ileum.毛粪石阻塞回肠末端。
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Deliberate self-burning in Mazandaran, Iran.
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A new endoscopic technique for the removal of gastric phytobezoars.一种用于去除胃植物性胃石的新型内镜技术。
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