泡沫胃石：切除穿孔的回肠末端，患者为镰状细胞β+地中海贫血伴异食癖的 17 岁青少年。

Foam bezoar: resection of perforated terminal ileum in a 17-year-old with sickle β+ thalassemia and pica.

机构信息

Hope Children's Hospital/Advocate Christ Medical Center, Oak Lawn, IL 60043, USA.

出版信息

J Pediatr Surg. 2011 Jul;46(7):E31-2. doi: 10.1016/j.jpedsurg.2011.04.017.

DOI:10.1016/j.jpedsurg.2011.04.017

Abstract

Children and adolescents with sickle cell disease demonstrate an increased incidence of pica. Pica involving polyurethane foam has been previously reported, but effective management of such cases remains unclear. We present the case of a 17-year-old African American adolescent girl with sickle β+ thalassemia who presented with a long history of foam rubber pica resulting in intestinal obstruction. Conservative management was unsuccessful, and the patient ultimately required operative intervention. We advocate for a low threshold for early operation in cases of foam rubber bezoar.

摘要

患有镰状细胞病的儿童和青少年表现出较高的异食癖发生率。先前已有报道涉及聚氨酯泡沫的异食癖病例，但此类病例的有效管理仍不清楚。我们报告了一例患有镰状细胞β+地中海贫血的 17 岁非裔美国少女病例，她长期存在泡沫橡胶异食癖，导致肠梗阻。保守治疗无效，患者最终需要手术干预。我们主张在出现泡沫橡胶胃石的情况下，早期手术的门槛要低。