复发性巨大金属粪石：一例报告
Relapsing massive metal bezoar: a case report.
作者信息
Prieto-Aldape Manuel Rodrigo, Almaguer-García Francisco Issac, Figueroa-Jiménez Sandra Edith, Fernández-Díaz Oscar, Mora-Huerta José Antonio, González-Ojeda Alejandro
机构信息
Surgical Division, Medical Research Unit, Clinical Epidemiology, Western National Medical Center, Mexican Institute of Social Security, Belisario Domínguez 1000, Guadalajara, Jalisco, Mexico.
出版信息
J Med Case Rep. 2009 Feb 10;3:56. doi: 10.1186/1752-1947-3-56.
INTRODUCTION
Bezoars are uncommon findings in the gastrointestinal tract and are composed of a wide variety of materials. We report a case of a relapsing metal bezoar in a man with schizophrenia.
CASE PRESENTATION
A 34-year-old man presented with a history of sub-acute onset of mild diffuse abdominal pain and abdominal distention. Physical examination revealed dullness to percussion in the upper and lower left quadrants. Past medical history was remarkable for epilepsy, schizophrenia and previous abdominal surgery for intestinal occlusion. Plain radiographs revealed objects of metal density contained within a dilated stomach. Celiotomy was performed revealing more than 350 metal objects inside the stomach. The patient was discharged and referred to a psychiatric facility.
CONCLUSION
Intestinal occlusion in patients with psychiatric disorders can result from rare causes such as bezoars. This report alerts surgeons to rule out bezoars in the differential diagnosis of intestinal occlusion in people with mental health problems.
引言
胃石是胃肠道中罕见的发现，由多种物质组成。我们报告一例患有精神分裂症的男性复发性金属胃石病例。
病例介绍
一名34岁男性，有亚急性起病的轻度弥漫性腹痛和腹胀病史。体格检查发现左上下象限叩诊呈浊音。既往病史有癫痫、精神分裂症，曾因肠梗阻接受腹部手术。腹部平片显示扩张的胃内有金属密度的物体。进行剖腹手术发现胃内有350多个金属物体。患者出院后被转诊至精神科机构。
结论
精神疾病患者的肠梗阻可能由胃石等罕见原因引起。本报告提醒外科医生在对有心理健康问题的患者进行肠梗阻鉴别诊断时要排除胃石。
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