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一个位于胃肠道罕见部位的大型植物性胃石。

A large-sized phytobezoar located on the rare site of the gastrointestinal tract.

作者信息

Yang Jee Eun, Ahn Ji Yong, Kim Gi Ae, Kim Ga Hee, Yoon Da Lim, Jeon Sung Jin, Jung Hwoon-Yong, Kim Jin-Ho

机构信息

Department of Gastroenterology, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

Clin Endosc. 2013 Jul;46(4):399-402. doi: 10.5946/ce.2013.46.4.399. Epub 2013 Jul 31.

DOI:10.5946/ce.2013.46.4.399
PMID:23964339
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3746147/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9315/3746147/5c42e1cf9df7/ce-46-399-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9315/3746147/44412c45244d/ce-46-399-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9315/3746147/da0e5ce3482c/ce-46-399-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9315/3746147/ee87a171876a/ce-46-399-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9315/3746147/5c42e1cf9df7/ce-46-399-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9315/3746147/44412c45244d/ce-46-399-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9315/3746147/da0e5ce3482c/ce-46-399-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9315/3746147/ee87a171876a/ce-46-399-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9315/3746147/5c42e1cf9df7/ce-46-399-g004.jpg

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