胆植物性胃石导致肠梗阻。
Biliary phytobezoar resulting in intestinal obstruction.
机构信息
Department of Radiology, College of Medicine, Korea University, Anam Hospital, Seoul 136-705, South Korea.
出版信息
World J Gastroenterol. 2013 Jan 7;19(1):133-6. doi: 10.3748/wjg.v19.i1.133.
Abstract
Phytobezoar is the most common type of bezoar. It is composed of indigestible vegetable matter and is usually found in the stomach. Biliary phytobezoar is extremely rare and difficult to diagnose preoperatively. The pathogenesis is not clear, and there have been only a few reports of biliary bezoars associated with sphincteric impairment at the ampulla of Vater. Here, we present a report of biliary bezoar that resulted in jejunal obstruction. We were unable to identify the bezoar in the extrahepatic bile duct until it obstructed the small bowel lumen. To our knowledge, this is the first report of small bowel obstruction resulting from migration of a biliary bezoar.
摘要
植物性胃石是最常见的胃石类型。它由不可消化的植物物质组成，通常在胃中发现。胆源性植物性胃石极为罕见，术前难以诊断。其发病机制尚不清楚，仅有少数报道称胆石与壶腹括约肌功能障碍有关。在这里，我们报告了一例导致空肠梗阻的胆石。我们无法在肝外胆管中识别出胆石，直到它阻塞了小肠腔。据我们所知，这是首例因胆石迁移导致小肠梗阻的报告。
相似文献
1
Biliary phytobezoar resulting in intestinal obstruction.胆植物性胃石导致肠梗阻。
World J Gastroenterol. 2013 Jan 7;19(1):133-6. doi: 10.3748/wjg.v19.i1.133.
2
Mushroom Bezoar Causing Small Bowel Obstruction.蘑菇粪石导致小肠梗阻。
J Coll Physicians Surg Pak. 2017 Mar;27(3):S13-S15.
3
Isolated ileal bezoar causing small bowel obstruction.孤立性回肠粪石导致小肠梗阻。
BMJ Case Rep. 2012 Jul 10;2012:bcr0120125656. doi: 10.1136/bcr.01.2012.5656.
4
Phytobezoar-induced small bowel obstruction associated with a concomitant gastric phytobezoar and ulcer in an elderly woman.一名老年女性因植物粪石导致小肠梗阻，同时伴有胃植物粪石和溃疡。
Ann Ital Chir. 2015 Jan-Feb;86(1):70-7.
5
Colonic phytobezoar as a rare cause of large bowel obstruction.结肠植物性粪石作为大肠梗阻的罕见病因。
BMJ Case Rep. 2015 Apr 9;2015:bcr2014208493. doi: 10.1136/bcr-2014-208493.
6
Esophageal and small bowel obstruction by occupational bezoar: report of a case.职业性胃石致食管和小肠梗阻：1例报告
BMC Gastroenterol. 2003 Jun 9;3:13. doi: 10.1186/1471-230X-3-13.
7
A rare case of a double phytobezoar causing gastric and jejunum obstruction in an adult man: a case report.一名成年男性因罕见的双植物性胃石导致胃和空肠梗阻：病例报告
J Med Case Rep. 2016 Dec 15;10(1):350. doi: 10.1186/s13256-016-1137-7.
8
Laparoscopic treatment of bowel obstruction due to a bezoar in a Meckel's diverticulum.腹腔镜治疗梅克尔憩室内粪石所致肠梗阻
JSLS. 2011 Oct-Dec;15(4):562-4. doi: 10.4293/108680811X13176785204607.
9
[Phytobezoar as the cause of small bowel obstruction].[植物性胃石作为小肠梗阻的病因]
Khirurgiia (Mosk). 2005(7):54-5.
10
Bezoar-induced small bowel obstruction: Clinical characteristics and diagnostic value of multi-slice spiral computed tomography.胃石症所致小肠梗阻：多层螺旋计算机断层扫描的临床特征及诊断价值
World J Gastroenterol. 2015 Sep 7;21(33):9774-84. doi: 10.3748/wjg.v21.i33.9774.
引用本文的文献
1
Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report.植物性胃石致机械性肠梗阻及早期肠套叠 1 例报告。
Medicina (Kaunas). 2023 Jun 30;59(7):1227. doi: 10.3390/medicina59071227.
2
Bezoar-induced small bowel obstruction: Clinical characteristics and diagnostic value of multi-slice spiral computed tomography.胃石症所致小肠梗阻：多层螺旋计算机断层扫描的临床特征及诊断价值
World J Gastroenterol. 2015 Sep 7;21(33):9774-84. doi: 10.3748/wjg.v21.i33.9774.
3
Extremely rare case of extrahepatic duct phytobezoar treated with intraoperative transenteral endoscopy.术中经肠内镜治疗肝外胆管植物性粪石的极其罕见病例。
Ann Surg Treat Res. 2014 Aug;87(2):100-3. doi: 10.4174/astr.2014.87.2.100. Epub 2014 Jul 29.
本文引用的文献
1
Synergistic effect of multiple predisposing risk factors on the development of bezoars.多种易患风险因素对胃石形成的协同作用。
World J Gastroenterol. 2012 Mar 7;18(9):960-4. doi: 10.3748/wjg.v18.i9.960.
2
Phytobezoar: an unusual cause of intestinal obstruction.植物性胃石：肠梗阻的一种罕见病因。
Biomed Imaging Interv J. 2005 Jul;1(1):e4. doi: 10.2349/biij.1.1.e4. Epub 2005 Jul 1.
3
Small intestinal obstruction due to phytobezoar: a case report.植物性胃石导致的小肠梗阻：一例报告
J Med Case Rep. 2009 Dec 2;3:9312. doi: 10.1186/1752-1947-3-9312.
4
Gallstone obstructive ileus 3 years post-cholecystectomy to a patient with an old ileoileal anastomosis.胆囊切除术后 3 年发生胆石性肠梗阻，患者有陈旧性回肠回肠吻合术史。
J Korean Med Sci. 2009 Dec;24(6):1216-9. doi: 10.3346/jkms.2009.24.6.1216. Epub 2009 Nov 9.
5
How good is cola for dissolution of gastric phytobezoars?可乐对胃植物性胃石溶解的效果如何？
World J Gastroenterol. 2009 May 14;15(18):2265-9. doi: 10.3748/wjg.15.2265.
6
Small-bowel bezoar versus small-bowel feces: CT evaluation.小肠粪石与小肠粪便：CT评估
AJR Am J Roentgenol. 2008 Nov;191(5):1465-8. doi: 10.2214/AJR.07.4004.
7
Acute intestinal obstruction caused by a persimmon phytobezoar after dissolution therapy with Coca-Cola.可口可乐溶解疗法后由柿子植物性胃石引起的急性肠梗阻。
Korean J Intern Med. 2007 Dec;22(4):300-3. doi: 10.3904/kjim.2007.22.4.300.
8
Common bile duct stone caused by a phytobezoar.植物性胃石导致胆总管结石。
Gastrointest Endosc. 2006 Feb;63(2):324; discussion 324. doi: 10.1016/j.gie.2005.09.037.
9
Development of bile duct bezoars following cholecystectomy caused by choledochoduodenal fistula formation: a case report.胆总管十二指肠瘘形成导致胆囊切除术后胆管粪石的发生：一例报告
BMC Gastroenterol. 2006 Jan 5;6:1. doi: 10.1186/1471-230X-6-1.
10
Role of helical CT in diagnosis of gallstone ileus and related conditions.螺旋CT在胆石性肠梗阻及相关病症诊断中的作用
AJR Am J Roentgenol. 2005 Nov;185(5):1159-65. doi: 10.2214/AJR.04.1371.
Zotero 插件