一名成年男性体重显著减轻并伴有呕吐的意外原因：胃植物性粪石症。
An Unexpected Cause of Marked Weight Loss Associated with Vomiting in an Adult Man: Gastric Phytobeozar.
作者信息
Vacante Marco, Alessandria Innocenza, Cataudella Emanuela, Fichera Rosangela, Malatino Lorenzo
机构信息
Department of Internal Medicine, University of Catania, Ospedale Cannizzaro, Catania, Italy.
出版信息
Eur J Case Rep Intern Med. 2015 Dec 16;3(1):000258. doi: 10.12890/2015_000258. eCollection 2016.
OBJECTIVES
We present the case of an edentulous 47-year-old farmer referred to our Department of Internal Medicine because of postprandial vomiting, hyporexia, asthenia and weight loss. He ate a mostly vegetarian diet.
MATERIALS AND METHODS
An oesophagogastroduodenoscopy revealed the presence of a phytobezoar at the level of the fundus and body of the stomach. Endoscopic fragmentation and removal of the phytobezoar were unsuccessful and the patient had to undergo open surgery.
RESULTS
Recovery was uneventful and free of complications.
CONCLUSION
Phytobezoars should be taken into account in the differential diagnosis of unexplained vomiting and weight loss.
LEARNING POINTS
Bezoars are concretions of indigestible materials located in the gastrointestinal tract.Gastric phytobezoars may cause unexplained vomiting and weight loss even in young people.The diagnosis of phytobezoars may be complex and endoscopy is helpful in most cases.
目的
我们报告一例47岁无牙农民的病例，该患者因餐后呕吐、食欲减退、乏力和体重减轻转诊至我们的内科。他的饮食主要为素食。
材料与方法
食管胃十二指肠镜检查显示胃底和胃体部存在植物性胃石。内镜下对植物性胃石进行破碎和清除未成功，患者不得不接受开放手术。
结果
恢复顺利，无并发症。
结论
在不明原因呕吐和体重减轻的鉴别诊断中应考虑植物性胃石。
学习要点
胃石是位于胃肠道内的难消化物质的凝结物。胃植物性胃石即使在年轻人中也可能导致不明原因的呕吐和体重减轻。植物性胃石的诊断可能很复杂，内镜检查在大多数情况下都有帮助。
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