Kubo Kimitoshi, Suzuoki Masato, Kimura Noriko, Maiya Norishige, Matsuda Soichiro, Tsuda Momoko, Ohara Masanori, Kato Mototsugu
Department of Gastroenterology, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.
Department of Surgery, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.
Case Rep Gastroenterol. 2020 Oct 27;14(3):527-533. doi: 10.1159/000510333. eCollection 2020 Sep-Dec.
Enterolithiasis associated with blind pouch syndrome secondary to functional end-to-end anastomosis is rare, and its endoscopic and radiological features remain poorly described. A 72-year-old woman was admitted to our hospital for abdominal pain and difficulty defecating. Colonoscopy (CS) with Gastrografin revealed a 10 × 8 cm calculus, an anastomotic ulcer, a blind pouch, and an end-to-end anastomosis in the transverse colon. The calculus was successfully crushed and removed with snares and alligator forceps through CS during the ensuing 4-day period. To our knowledge, this is the first report describing the endoscopic and radiological features of blind pouch syndrome-associated enterolithiasis successfully treated with CS.
与功能性端端吻合术后继发的盲袋综合征相关的肠结石症较为罕见，其内镜及放射学特征仍鲜有描述。一名72岁女性因腹痛及排便困难入院。经泛影葡胺灌肠的结肠镜检查显示横结肠有一个10×8厘米的结石、一个吻合口溃疡、一个盲袋以及端端吻合。在随后的4天里，通过结肠镜检查用圈套器和鳄嘴钳成功地粉碎并取出了结石。据我们所知，这是首篇描述经结肠镜检查成功治疗盲袋综合征相关肠结石症的内镜及放射学特征的报告。
