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多种胃石导致小肠梗阻:上消化道和下消化道内镜联合治疗的独特案例。

Multiple bezoars causing small bowel obstruction: a unique case of resolution with upper and low GI endoscopy.

机构信息

Gastroenterology, Hospital Garcia de Orta, Portugal.

Gastrenterology, Hospital Garcia de Orta.

出版信息

Rev Esp Enferm Dig. 2022 Aug;114(8):491-492. doi: 10.17235/reed.2021.8459/2021.

Abstract

Reports of obstructing foreign bodies in the small bowel are rare and the majority describe surgical resolution. We report a case of successful endoscopic treatment of a small bowel obstruction (SBO) caused by multiple bezoars. A 92-year-old female presented to the Emergency Department with a history of persistent vomiting. Computed tomography (CT) showed gastric distension and an intraluminal ovaloid foreign body with a heterogenous density in the second portion of the duodenum, suggestive of bezoar.

摘要

报告显示,小肠内有异物阻塞的情况较为罕见,且大多数病例都需要通过手术来解决。我们报告了一例由多个毛粪石引起的成功的小肠梗阻(SBO)内镜治疗案例。一名 92 岁女性因持续性呕吐到急诊科就诊。计算机断层扫描(CT)显示胃扩张和十二指肠第二段腔内有一个椭圆形的异物,密度不均,提示为毛粪石。

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