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腹腔镜检查在植物性胃石继发急性外科急腹症处理中的作用

Role of Laparoscopy in the Management of Acute Surgical Abdomen Secondary to Phytobezoars.

作者信息

Sheikh Abu Baker, Akhtar Aisha, Nasrullah Adeel, Haq Shujaul, Ghazanfar Haider

机构信息

Department of Internal Medicine, Shifa International Hospital.

Surgery, Texas Tech Health Sciences Center Lubbock.

出版信息

Cureus. 2017 Jun 17;9(6):e1363. doi: 10.7759/cureus.1363.

Abstract

A bezoar is a collection of indigestible material found in the alimentary canal, which can cause mechanical obstruction of the gastrointestinal tract. Phytobezoar is a variant composed of mostly plant material and indigestible fiber. Phytobezoar is a rare cause of small bowel obstruction (SBO) and happens more commonly in patients with risk factors predisposing to impaired gastrointestinal motility. We present a rare case of SBO secondary to phytobezoar in a 60-year-old female patient with type 2 diabetes. There was no prior history of any abdominal surgery. The abdominal computed tomography (CT) scan was inconclusive. Laparoscopy was found to be an effective diagnostic and therapeutic procedure in this patient.

摘要

胃石是在消化道中发现的不可消化物质的聚集体,可导致胃肠道机械性梗阻。植物性胃石是一种主要由植物物质和不可消化纤维组成的变体。植物性胃石是小肠梗阻(SBO)的罕见原因,更常见于有胃肠道动力受损危险因素的患者。我们报告一例60岁2型糖尿病女性患者继发于植物性胃石的罕见小肠梗阻病例。患者既往无腹部手术史。腹部计算机断层扫描(CT)扫描结果不明确。腹腔镜检查被发现是该患者有效的诊断和治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2710/5513738/79b837eb298b/cureus-0009-00000001363-i01.jpg

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