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因咀嚼不充分导致部分肠梗阻的肉结石:一例报告

Meat bezoar due to inadequate mastication leading partial bowel obstruction: A case report.

作者信息

Tahouri Tahmineh, Rahimi-Movaghar Ehsanollah, Safaei Qomi Mohammad Reza, Mehrabi Sarvenaz

机构信息

Shahid Modarres Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Surgery, Farhikhtegan Hospital, Faculty of Medicine, Tehran Medical Science, Islamic Azad University, Tehran, Iran.

出版信息

Int J Surg Case Rep. 2023 Sep;110:108775. doi: 10.1016/j.ijscr.2023.108775. Epub 2023 Sep 2.

Abstract

INTRODUCTION

Gastrointestinal bezoars may occur in individuals with a normal gastrointestinal tract structure or as a result of gastrointestinal defects and disease. This rare condition initially presents with general abdominal pain, mimicking appendicitis in later stages. Recognizing this condition as a differential diagnosis in patients with abdominal pain can prevent delays in diagnosis and serious complications.

PRESENTATION OF CASE

We report a rare case of a meat bezoar in a 52-year-old man presenting with acute and generalized abdominal pain at an emergency department.

DISCUSSION

We discuss gastrointestinal bezoars as a rare differential diagnosis of abdominal pain and acute abdomen in people with no pre-existing medical history, and the challenges that might be faced during diagnosis and treatment.

CONCLUSION

Gastrointestinal bezoars are rare which makes the diagnosis challenging. Obtaining a complete history and a full examination with appropriate imaging could help the diagnosis.

摘要

引言

胃肠道毛粪石可发生于胃肠道结构正常的个体,也可由胃肠道缺陷和疾病引起。这种罕见病症最初表现为全腹痛,后期类似阑尾炎。在腹痛患者中将此病症作为鉴别诊断可避免诊断延误和严重并发症。

病例介绍

我们报告一例罕见的肉石病例,一名52岁男性因急性全腹痛就诊于急诊科。

讨论

我们讨论了胃肠道毛粪石作为无既往病史人群腹痛和急腹症的罕见鉴别诊断,以及诊断和治疗过程中可能面临的挑战。

结论

胃肠道毛粪石罕见,这使得诊断具有挑战性。获取完整病史并进行全面检查及适当的影像学检查有助于诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9255/10510061/e405f35a56e5/gr1.jpg

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