Coufal Nicole G, Kansagra Akash P, Doucet Jay, Lee Jeanne, Coimbra Raul, Bansal Vishal
University of California San Diego, School of Medicine, 9500 Gilman Drive, La Jolla, San Diego, CA 92093, USA.
Case Rep Med. 2011;2011:217570. doi: 10.1155/2011/217570. Epub 2011 Jun 7.
We report the unusual case of a 45-year-old woman who presented with multiple episodes of small bowel obstruction. Initial exploratory lap-roscopy did not reveal an etiology of the obstruction. Subsequent upper endoscopy identified a non-obstructing gastric trichobezoar which could not be removed endoscopically but was not thought to be responsible for the small bowel obstruction given its location. One week postoperatively, the patient experienced recurrence of small bowel obstruction. Repeat endoscopy disclosed that the trichobezoar was no longer located in the stomach and upon repeat laparotomy was extracted from the mid-jejunum. In the following 8 months, the patient had no further episodes of small bowel obstruction. Consequently, gastric bezoars should be included in the differential diagnosis of recurrent small bowel obstruction.
我们报告了一例罕见病例，一名45岁女性出现多次小肠梗阻。初次探查性腹腔镜检查未发现梗阻病因。随后的上消化道内镜检查发现一个非梗阻性胃毛石，无法通过内镜取出，鉴于其位置，认为它不是小肠梗阻的原因。术后一周，患者小肠梗阻复发。再次内镜检查发现毛石不再位于胃内，再次剖腹手术时从空肠中部取出。在接下来的8个月里，患者未再出现小肠梗阻发作。因此，胃石应列入复发性小肠梗阻的鉴别诊断中。
