Yang Jee Eun, Ahn Ji Yong, Kim Gi Ae, Kim Ga Hee, Yoon Da Lim, Jeon Sung Jin, Jung Hwoon-Yong, Kim Jin-Ho
Department of Gastroenterology, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Clin Endosc. 2013 Jul;46(4):399-402. doi: 10.5946/ce.2013.46.4.399. Epub 2013 Jul 31.
Bezoars are concretions of undigested material and are most often observed in the stomach. They can occur at any site in the gastrointestinal tract; however, duodenal localization is very rare. We report the case of a 71-year-old male who had undergone subtotal gastrectomy with gastroduodenostomy and experienced severe epigastric discomfort, abdominal pain, and vomiting for a few days. An approximately 7×8 cm-sized mass was found on an abdominal computed tomography scan. On following endoscopy, a large bezoar was revealed in the duodenum and was removed using an endoscopic removal technique, assisted by a large amount of Coca-Cola infusion.
胃石是未消化物质的凝结物,最常见于胃中。它们可发生在胃肠道的任何部位;然而,十二指肠部位的胃石非常罕见。我们报告一例71岁男性病例,该患者接受了胃大部切除术并进行了胃十二指肠吻合术,术后几天出现严重上腹部不适、腹痛和呕吐。腹部计算机断层扫描发现一个约7×8厘米大小的肿块。随后的内镜检查显示十二指肠内有一个大胃石,通过大量输注可口可乐辅助,采用内镜切除技术将其取出。