粪石：右髂窝处可触及的异常肿块。
Bezoar: an unusual palpable mass in the right iliac fossa.
作者信息
Armstrong A, Coulston J, Mackey P, Saxby C, Eyre-Brook I
机构信息
Department of Colorectal Surgery, Musgrove Park Hospital, Taunton, Somerset TA1 5DA UK ; 44a Fore St., Topsham, Exeter, Devon EX3 0HY UK.
Department of Colorectal Surgery, Musgrove Park Hospital, Taunton, Somerset TA1 5DA UK.
出版信息
Indian J Surg. 2015 Feb;77(1):73-4. doi: 10.1007/s12262-013-0819-2. Epub 2013 Jan 26.
A 64-year-old gentleman presented with a 12-h history of right iliac fossa pain. On examination, the patient had a tender 8 × 6 cm mass in the right iliac fossa with localised peritonitis. The working diagnosis at this time was an appendix mass or caecal cancer. A computed tomography scan revealed the characteristic 'bird's nest' appearance of a bezoar. On further questioning, the patient confessed to regularly 'binging' on grapes. The patient described passing the mass and his symptoms completely resolved. This appears to be the only documented case of a bezoar affecting the ascending colon.
一位64岁的男性患者因右下腹疼痛12小时前来就诊。检查时，患者右下腹有一个压痛性肿块，大小为8×6厘米，伴有局限性腹膜炎。当时的初步诊断是阑尾肿块或盲肠癌。计算机断层扫描显示了胃石典型的“鸟巢”外观。进一步询问后，患者承认经常大量食用葡萄。患者描述排出了肿块，其症状也完全消失了。这似乎是唯一有记录的胃石影响升结肠的病例。
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