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1
Small bowel obstruction with multiple perforations due to enterolith (bezoar) formed without gastrointestinal pathology.因无胃肠道病变而形成的肠石（粪石）导致的小肠梗阻伴多发穿孔。
Postgrad Med J. 1990 Oct;66(780):872-3. doi: 10.1136/pgmj.66.780.872.
2
Obstructing phytobezoar arising from proximal jejunal diverticulum.源于空肠近端憩室的阻塞性植物性粪石。
Am J Surg. 2008 Jan;195(1):106-7. doi: 10.1016/j.amjsurg.2007.02.018.
3
Small bowel obstruction due to enterolith (bezoar) formed in a duodenal diverticulum: a case report and review of the literature.十二指肠憩室内形成肠石（粪石）导致的小肠梗阻：一例病例报告及文献复习
Am J Gastroenterol. 1982 Sep;77(9):621-4.
4
Child with small bowel obstruction and perforation secondary to ileal bezoar.因回肠粪石继发小肠梗阻和穿孔的儿童。
Pediatr Emerg Care. 2008 Feb;24(2):99-101. doi: 10.1097/PEC.0b013e318163dbc8.
5
[Unusual cause of ileal occlusion: a coconut bezoar].[回肠梗阻的罕见病因：椰子粪石]
Pediatr Med Chir. 2001 May-Aug;23(3-4):203-4.
6
[Intestinal obstruction caused by phytobezoar].[植物粪石引起的肠梗阻]
Klin Khir (1962). 1994(1-2):62-3.
7
[Mechanical small bowel obstruction due to bezoars: correlation between CT and surgical findings].[胃石症所致机械性小肠梗阻：CT 与手术 findings 的相关性] （注：这里“findings”直译为“发现”，在医学语境中可灵活理解为“所见、表现等”，因未结合完整内容，准确意思可能需根据上下文确定）
J Radiol. 2002 May;83(5):641-6.
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"Pseudo-phytobezoar" due to seed from pickled plum resulting in perforated peritonitis.因腌制李子种子导致的“假性植物粪石”引发穿孔性腹膜炎。
Am J Gastroenterol. 1999 Nov;94(11):3373-4. doi: 10.1111/j.1572-0241.1999.3373a.x.
9
[Intestinal obstruction caused by phytobezoar].[植物性胃石引起的肠梗阻]
Ann Ital Chir. 1984;56(5):467-71.
10
[Intestinal obstruction due to phytobezoars].[植物性胃石导致的肠梗阻]
G Chir. 1993 Jan;14(1):41-4.

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Small bowel obstruction with multiple perforations post chestnut ingestion.食用栗子后发生的伴有多处穿孔的小肠梗阻。
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Small bowel obstruction and perforation secondary to primary enterolithiasis in a patient with jejunal diverticulosis.空肠憩室病患者原发性肠结石继发小肠梗阻和穿孔。
BMJ Case Rep. 2014 Mar 13;2014:bcr2014203833. doi: 10.1136/bcr-2014-203833.
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Complicated Rapunzel syndrome mimicking intussusception.酷似肠套叠的复杂型长发公主综合征。
BMJ Case Rep. 2011 May 19;2011:bcr0820103277. doi: 10.1136/bcr.08.2010.3277.

本文引用的文献

1
Perforation and obstruction by enterolith complicating jejunal diverticulosis; a report of three cases.空肠憩室病并发肠石穿孔及梗阻：三例报告
Br J Surg. 1953 Jul;41(165):60-2. doi: 10.1002/bjs.18004116515.
2
Small bowel obstruction secondary to enzymatic digestion of a gastric bezoar.胃石酶解继发小肠梗阻
Gastroenterology. 1983 Mar;84(3):627-9.
3
Small bowel obstruction due to enterolith (bezoar) formed in a duodenal diverticulum: a case report and review of the literature.十二指肠憩室内形成肠石（粪石）导致的小肠梗阻：一例病例报告及文献复习
Am J Gastroenterol. 1982 Sep;77(9):621-4.
4
Jejunoileal diverticulosis.空回肠憩室病
South Med J. 1981 Jul;74(7):792-5. doi: 10.1097/00007611-198107000-00007.
5
Intestinal obstruction due to bezoars.胃石症所致肠梗阻
Am J Gastroenterol. 1984 Apr;79(4):313-8.
6
Ginger and drug bezoar induced small bowel obstruction.生姜与药物性胃石导致小肠梗阻。
J R Coll Surg Edinb. 1983 Nov;28(6):397-8.
7
Bile-acid enteroliths and jejunal diverticulosis.胆汁酸肠石与空肠憩室病
Br J Surg. 1966 Aug;53(8):709-11. doi: 10.1002/bjs.1800530816.
8
Enterolith obstruction of the small bowel.小肠内结石梗阻
J R Coll Surg Edinb. 1985 Aug;30(4):269-70.
9
Gastric cancer bezoar.胃癌性胃石
J R Coll Surg Edinb. 1987 Jun;32(3):165-6.
10
Obturation of the ileum by a jejunal diverticular enterolith.空肠憩室肠石阻塞回肠。
Gastroenterology. 1975 Jun;68(6):1596-7.

因无胃肠道病变而形成的肠石（粪石）导致的小肠梗阻伴多发穿孔。

Small bowel obstruction with multiple perforations due to enterolith (bezoar) formed without gastrointestinal pathology.

作者信息

Salim A S

机构信息

Department of Surgery, Royal Infirmary, Perth, UK.

出版信息

Postgrad Med J. 1990 Oct;66(780):872-3. doi: 10.1136/pgmj.66.780.872.

DOI:10.1136/pgmj.66.780.872
PMID:2099437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2429692/
Abstract

An enterolith (bezoar) usually originates in an intestinal diverticulum or in a segment of bowel loculated by stricture formation. Stasis promotes its formation. This communication describes a case in which a large enterolith caused obstruction and multiple perforations of the terminal ileum in the absence of any predisposing gastrointestinal pathology. The management of this rare occurrence is discussed and the literature reviewed.

摘要

肠石（粪石）通常起源于肠憩室或因狭窄形成而局部化的肠段。淤滞促进其形成。本文报道了一例在无任何易患性胃肠道病变的情况下，巨大肠石导致回肠末端梗阻和多处穿孔的病例。讨论了这种罕见情况的处理方法并复习了相关文献。