Greger A, Hamelmann W, Konermann M
Medizinische Klinik, Marienkrankenhaus Kassel, Marburger Str. 85, 34127, Kassel, Deutschland.
Chirurgische Klinik, Marienkrankenhaus Kassel, Kassel, Deutschland.
Internist (Berl). 2017 Nov;58(11):1207-1212. doi: 10.1007/s00108-017-0257-5.
A 67-year-old man suffering from epigastric pain showed a phytobezoar in the endoscopy. Therapy with Coca Cola® and enzymes was initiated. The (partial) lysis led to a migration of the bezoar into the ileum, resulting in a small bowel obstruction. After removal of the remaining bezoar via ileotomy a secondary pneumatosis intestinalis occurred. As a rare finding the (phyto-)bezoar should be considered as a differential diagnosis of abdominal pain - especially considering the rising numbers of bariatric surgery, which is a potential risk factor. Furthermore, intestinal obstruction after migration has to be considered as a relevant complication of treatment.
一名67岁的上腹部疼痛男性在内镜检查中发现有植物性胃石。开始用可口可乐®和酶进行治疗。（部分）溶解导致胃石迁移至回肠，引起小肠梗阻。通过回肠切开术取出剩余胃石后，发生了继发性肠壁积气。作为一种罕见的发现，（植物性）胃石应被视为腹痛的鉴别诊断——尤其是考虑到减肥手术数量的增加，这是一个潜在的风险因素。此外，胃石迁移后的肠梗阻必须被视为治疗的相关并发症。
