van Goor H, van Rooyen W
Department of Surgery, Sophia Hospital, Zwolle, The Netherlands.
Neth J Surg. 1991 Apr;43(2):43-4.
Abdominal symptoms in mentally retarded patients may pose difficult diagnostic problems due to an unreliable history of disease and incooperation of the patients. The case histories are presented of three patients with bezoars in the ileum. Delayed diagnosis and signs of peritonitis necessitated emergency surgery. All patients could successfully be treated by small bowel resection and primary anastomosis. In mentally retarded patients with abdominal pain a bezoar must be considered.
由于病史不可靠以及患者不配合，智障患者的腹部症状可能会带来诊断难题。本文介绍了三例回肠粪石患者的病历。诊断延误和腹膜炎体征使得必须进行急诊手术。所有患者均通过小肠切除和一期吻合术成功治愈。对于有腹痛症状的智障患者，必须考虑粪石的可能。
