Khan Mohammad Masood Ur Rauf Hiraj, Hashmi Junaid Zia, Lateef Naeem, Mumtaz Moazam, Saleem Farah
Department of General Surgery, Nishtar Hospital, Multan, Pakistan.
J Coll Physicians Surg Pak. 2019 Mar;29(3):276-277. doi: 10.29271/jcpsp.2019.03.276.
Small bowel obstruction secondary to phytobezoars is a rare presentation in surgery. These are masses of undigested food and vegetables, which obstruct the narrowest part of gut. We discuss a case of a young patient presenting in emergency department with history of acute abdominal pain, distension and constipation. Diagnosis of acute intestinal obstruction was made on the basis of history, examination, and initial investigations. Exploratory laparotomy revealed a phytobezoar at the origin of Meckel's diverticulum, which was an incidental finding. He underwent wedge resection with primary closure and removal of phytobezoar. The change in dietary habits, decreased fiber intake, and psychiatric evaluation can prevent recurrence.
植物性胃石继发小肠梗阻在外科手术中是一种罕见的表现。这些是未消化的食物和蔬菜团块，会阻塞肠道最狭窄的部分。我们讨论一例年轻患者，因急性腹痛、腹胀和便秘病史就诊于急诊科。根据病史、体格检查和初步检查诊断为急性肠梗阻。剖腹探查发现梅克尔憩室起始处有一个植物性胃石，这是一个偶然发现。他接受了楔形切除术并一期缝合，同时取出了植物性胃石。改变饮食习惯、减少纤维摄入以及进行精神评估可预防复发。
