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由巨大盲肠粪石引起的“球阀”小肠梗阻。

'Ball valve' small bowel obstruction caused by a large caecal faecolith.

机构信息

Department of General Surgery, Wirral University Teaching Hospital, Upton, Wirral, UK.

出版信息

Ann R Coll Surg Engl. 2021 Feb;103(2):e69-e71. doi: 10.1308/rcsann.2020.7006. Epub 2020 Nov 13.

DOI:10.1308/rcsann.2020.7006
PMID:33185474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9773893/
Abstract

Small bowel obstruction is a common surgical presentation, but intestinal faecoliths are rarely reported as a cause. A 75-year-old woman presented with small bowel obstruction from a large faecolith lodged in the caecum. This required removal at laparoscopy-assisted surgery. This case highlights the need to deal promptly with symptomatic intestinal faecoliths as they are unlikely to pass spontaneously and are prone to cause acute obstruction.

摘要

小肠梗阻是一种常见的外科病症，但肠粪石作为其病因很少见。一位 75 岁女性因盲肠内大粪石嵌顿引起小肠梗阻就诊。该粪石需通过腹腔镜辅助手术取出。本病例强调了及时处理有症状的肠粪石的必要性，因为粪石不太可能自行排出，且易引起急性梗阻。

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本文引用的文献

1
Fecalith Causing Mechanical Bowel Obstruction Managed with Intracorporeal Lithotripsy.粪石导致的机械性肠梗阻采用体内碎石术治疗。
ACG Case Rep J. 2016 Apr 15;3(3):156-7. doi: 10.14309/crj.2016.34. eCollection 2016 Apr.
2
Role of the faecolith in modern-day appendicitis.粪石在现代阑尾炎中的作用。
Ann R Coll Surg Engl. 2013 Jan;95(1):48-51. doi: 10.1308/003588413X13511609954851.
3
Caecal faecolith; a report on two cases.盲肠粪石；两例报告
Br J Surg. 1948 Jul;36(141):55-8. doi: 10.1002/bjs.18003614110.
4
Enterolith ileus as a complication of jejunal diverticulosis: two case reports and a review of the literature.空肠憩室病并发症之肠石性肠梗阻：两例病例报告及文献综述
Dig Surg. 2003;20(1):57-60. doi: 10.1159/000068852.
5
Complications of gallstone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus.胆结石疾病的并发症：Mirizzi综合征、胆囊胆总管瘘和胆石性肠梗阻。
Am J Gastroenterol. 2002 Feb;97(2):249-54. doi: 10.1111/j.1572-0241.2002.05451.x.