Sanei Taheri Morteza, Kharrazi Seyyed Mohammad, Haghighatkhah Hamid Reza, Moharamzad Yashar
Radiology Department, Shohada Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Emerg Radiol. 2008 Sep;15(5):357-9. doi: 10.1007/s10140-007-0684-z. Epub 2007 Nov 29.
Bezoars usually present as a mass in the stomach. One of the uncommon causes of bezoars is ingestion of plaster in a suicidal attempt. We present here two patients with acute formed gastric bezoars due to plaster ingestion. Their main complaints were abdominal pain, nausea, and vomiting. Clinical examination revealed a slightly distended abdomen and a palpable mass in the epigastric region. Plain abdominal radiograph showed plaster casts in the stomach. They were successfully treated by insertion of a nasogastric tube and gastric irrigation using saline solution over 24 h. Post-treatment abdominal X-ray showed dissolved plaster passing through the small intestines and the colon. The treatment course was uneventful, and finally patients were discharged with good condition and referred to a psychiatric clinic for treatment of underlying psychological disorder.
胃石通常表现为胃内的肿块。胃石的罕见病因之一是自杀企图中吞食石膏。我们在此报告两例因吞食石膏导致急性形成胃石的患者。他们的主要症状是腹痛、恶心和呕吐。临床检查发现腹部轻度膨隆，上腹部可触及肿块。腹部平片显示胃内有石膏铸型。通过插入鼻胃管并在24小时内用生理盐水进行胃灌洗，成功对他们进行了治疗。治疗后腹部X线显示溶解的石膏通过小肠和结肠。治疗过程顺利，最后患者康复出院，并被转至精神科诊所治疗潜在的心理障碍。
