Kandel Bishnu Prasad, Chalise Anup, Shrestha Sujan, Lakhey Paleswan Joshi
Department of Surgical Gastroenterology Tribhuvan University Teaching Hospital Kathmandu Nepal.
Department of Surgery North Middlesex University Hospital London UK.
Clin Case Rep. 2025 Mar 2;13(3):e70293. doi: 10.1002/ccr3.70293. eCollection 2025 Mar.
Concretion or mass formed of exogenous undigested material in the gastrointestinal tract is called bezoar. Bezoar is a rare condition and can present with clinical features ranging from recurrent abdominal pain to acute presentation with obstruction or gastrointestinal bleeding. Preoperative diagnosis is usually done by imaging studies. They are treated with endoscopic or surgical removal of the bezoar along with treatment of complications and underlying illness. Here, we present two cases of bezoars: first, a case of a duodenal lithobezoar in 35-year-old male who presented with features of gastric outlet obstruction. He was found to have duodenal stricture and multiple small lithobezoars in the stomach and duodenum. The bezoars were removed by laparotomy and gastrotomy; and gastrojejunostomy was done to bypass the stricture. The second was a jejunal phytobezoar in 42-year-old male who presented with jejunal obstruction. Laparotomy and resection of the involved segment of jejunum and end-to-end anastomosis were done. Both the patients improved without postoperative complications.
胃肠道内由外源性未消化物质形成的凝结物或团块称为胃石。胃石是一种罕见病症，其临床特征多样，从反复腹痛到因梗阻或胃肠道出血的急性表现。术前诊断通常通过影像学检查进行。治疗方法是通过内镜或手术切除胃石，并处理并发症和基础疾病。在此，我们呈现两例胃石病例：第一例，一名35岁男性十二指肠结石性胃石，表现为胃出口梗阻症状。发现其十二指肠狭窄，胃和十二指肠内有多个小结石性胃石。通过剖腹术和胃切开术取出胃石；并进行胃空肠吻合术以绕过狭窄部位。第二例，一名42岁男性空肠植物性胃石，表现为空肠梗阻。进行了剖腹术、切除空肠受累节段并做了端端吻合术。两名患者均康复且无术后并发症。
