Ali Abdullahi Yusuf, Biyikli Ahmet, Mohamed Abdishakur Abdi, Dhaley Abdullahi, İbrahim İsmail Gedi
Department of Pediatric Surgery, Mogadishu Somalia Turkish Training and Research Hospital, Somalia.
Department of Pediatric, Mogadishu Somalia Turkish Training and Research Hospital, Somalia.
Ann Med Surg (Lond). 2022 Mar 15;76:103488. doi: 10.1016/j.amsu.2022.103488. eCollection 2022 Apr.
Small bowel obstruction in children induced by phytobezoar impaction is reported here. Bezoars are classified into four types: phytobezoars, trichobezoars, pharmacobezoars, and lactobezoars. We present here the first case of lemon shelves induced by small intestinal obstruction without previous gastrointestinal surgery and diagnosis was made erect abdominal x-ray.
We present a case of a three-year-old boy who presented with a history of abdominal pain, distension, and bilious vomiting, for the preceding one week. The child had no previous history of gastric or intra-abdominal surgery. The definitive diagnosis was not known before the operation. The case was diagnosed at laparotomy and removed through a distal enterotomy.
In surgical practice, small bowel obstruction is a prevalent problem. Phytobezoar is a rarely mentioned cause of mechanical small intestine obstruction, accounting for only 0.4-4% of all cases. The lemon shelves measuring 35 cm and 75 cm had impacted the terminal ileum of our patient, causing an obstruction that could only be discovered after an enterotomy as it was not feasible to be fragmented and milked into the cecum and an open appendectomy was performed because of the socio-economic reason.
The total bowel obstruction is treated with both laparotomies and milking through the ileocecal junction or enterotomy and direct extraction.
本文报道了由植物性胃石嵌顿引起的小儿小肠梗阻。胃石分为四种类型：植物性胃石、毛发胃石、药物性胃石和乳凝块胃石。我们在此呈现首例因小肠梗阻导致的柠檬胃石，该患儿此前无胃肠道手术史，通过立位腹部X线做出诊断。
我们报告一例3岁男孩，在过去一周出现腹痛、腹胀和胆汁性呕吐病史。该患儿既往无胃或腹部手术史。手术前明确诊断未知。该病例在剖腹手术时确诊，并通过远端肠切开术取出。
在外科实践中，小肠梗阻是一个常见问题。植物性胃石是机械性小肠梗阻的一个很少被提及的原因，仅占所有病例的0.4 - 4%。长35厘米和75厘米的柠檬胃石嵌顿在我们患者的回肠末端，导致梗阻，由于无法将其破碎并挤入盲肠，且由于社会经济原因进行了开放性阑尾切除术，所以只有在肠切开术后才发现梗阻。
完全性肠梗阻采用剖腹手术以及通过回盲部挤碎或肠切开术直接取出进行治疗。
