成功内镜治疗一例从胃迁移至肠道的柿石症。
Successful endoscopic treatment of an intestinal diospyrobezoar migrated from the stomach.
作者信息
Qin Bin, Wan Xiao Long, Guo Xiao Yan, Dong Lei
机构信息
Department of Gastroenterology, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
出版信息
BMJ Case Rep. 2014 Jul 4;2014:bcr2014204966. doi: 10.1136/bcr-2014-204966.
Diospyrobezoars are a rare cause of small intestinal obstruction. A 78-year-old man, with a history of persimmons ingestion and gastrectomy, presented with upper abdominal pain and weight loss. The upper gastrointestinal endoscopy showed a huge bezoar in the stomach. After initial endoscopic fragmentation, the abdominal X-ray revealed intestinal obstruction and the colonoscopy showed large fragments of the bezoar filling the terminal ileum. The migrated bezoar pieces were successfully removed by endoscopic fragmentation with a cutting lithotripter.
柿石是小肠梗阻的罕见病因。一名78岁男性，有食用柿子及胃切除术史，出现上腹部疼痛和体重减轻。上消化道内镜检查显示胃内有巨大的胃石。最初内镜下破碎后，腹部X线显示肠梗阻，结肠镜检查显示大量胃石碎片充满回肠末端。通过使用切割碎石器进行内镜下破碎成功取出迁移的胃石碎片。
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