形成临时胃造口术以辅助胃毛石的排出并降低伤口感染的发生率。
Formation of a temporary gastrostomy to aid delivery of gastric trichobezoar and decrease incidence of wound infection.
作者信息
Darwish Ahmed AbdElhamid, Abdelgawad Abdelghany Em, Platt Esther, Garrett-Cox Robin
机构信息
Paediatric Surgery Department, Bristol Royal Hospital for Children, Bristol, UK.
出版信息
BMJ Case Rep. 2019 Jun 21;12(6):e228660. doi: 10.1136/bcr-2018-228660.
Trichobezoars are relatively uncommon problems with a known female predominance. We report two female children with gastric bezoars. Main presenting symptoms were abdominal distension, weight loss and anaemia. Upper abdominal mass was palpable in both. Diagnosis was suspected on initial abdominal radiograph and ultrasound scan then confirmed by upper endoscopy. No bowel extension was recorded in either case. We report here a modification of the surgical technique in which the gastrostomy cut edges were anchored to the laparotomy skin. This modification aided easy and complete delivery of hair balls avoiding any spillage or wound contamination.
毛粪石是相对罕见的问题，已知女性更为多见。我们报告了两名患有胃毛粪石的女童。主要临床表现为腹胀、体重减轻和贫血。两人上腹部均可触及肿块。初步腹部X线平片和超声检查怀疑诊断，随后经上消化道内镜检查确诊。两例均未记录有肠管受累情况。我们在此报告一种手术技术的改良方法，即将胃造口术的切口边缘固定于剖腹手术切口的皮肤上。这种改良有助于毛发球轻松、完整地取出，避免任何溢出或伤口污染。
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