植物性胃石：小肠梗阻的罕见病因。
Phytobezoar: a rare cause of small bowel obstruction.
作者信息
Pujar K Anupama, Pai A Sreekar, Hiremath V Bharati
机构信息
Assistant Professor, Department of Surgery, M.S. Ramaiah Medical College , Bangalore, India .
出版信息
J Clin Diagn Res. 2013 Oct;7(10):2298-9. doi: 10.7860/JCDR/2013/7248.3504. Epub 2013 Sep 14.
Abstract
Phytobezoar is an unusual cause of small bowel obstruction. It accounts for about 0.4%-4% of all mechanical bowel obstruction. However, the symptoms are not very different from those caused by usual aetiologies of small bowel obstruction. The commonest site of obstruction is terminal ileum. Treatment of small bowel obstruction due to Phytobezoar is surgery. Prevention includes avoidance of high fibre diet, prokinetics particularly in patients who have undergone gastric surgery. A 57-year-old male presented with symptoms and signs of small bowel obstruction. On exploratory laparotomy Phytobezoar in the ileum was found to be the cause of obstruction. Diagnosis was confirmed by histopathology.
摘要
植物粪石是小肠梗阻的一种罕见病因。它占所有机械性肠梗阻的0.4%-4%。然而，其症状与小肠梗阻常见病因所引起的症状并无太大差异。最常见的梗阻部位是回肠末端。因植物粪石导致的小肠梗阻的治疗方法是手术。预防措施包括避免高纤维饮食，使用促动力药，尤其是对于接受过胃部手术的患者。一名57岁男性出现小肠梗阻的症状和体征。在剖腹探查术中发现回肠内的植物粪石是梗阻原因。组织病理学检查确诊了该诊断。
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