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胃乳酸石:新生儿肠梗阻的罕见病因

Gastric Lactobezoar: A Rare Cause of Intestinal Obstruction in Neonates.

作者信息

Gosai Dhara, Vaishnav Jolly, Mishra Purbasha

机构信息

Department of Pediatrics, B. J. Medical College, Ahmedabad, Gujarat, India.

出版信息

J Indian Assoc Pediatr Surg. 2025 May-Jun;30(3):401-402. doi: 10.4103/jiaps.jiaps_284_24. Epub 2025 Mar 12.

Abstract

Gastric lactobezoar, a pathological collection of milk and mucus in the stomach of milk-fed infants, can present with features of gastric outlet obstruction. A 3-day-old neonate developed abdominal distension with no hemodynamic instability. Abdominal X-ray was suggestive of gastric pneumatosis with heterogeneous opacities in the gastric region indicative of lactobezoar. The patient was managed conservatively with intravenous fluids and gastric lavage at regular intervals. We highlight this case due to its rare presentation, and when diagnosed early using a simple bedside radiological test, it has a good prognosis and minimal recurrence rate.

摘要

胃乳石是人工喂养婴儿胃内牛奶和黏液的病理性聚积,可表现为胃出口梗阻的特征。一名3日龄新生儿出现腹胀,但无血流动力学不稳定。腹部X线提示胃积气,胃区有不均匀的不透光区,提示胃乳石。该患者通过静脉补液和定期洗胃进行保守治疗。我们强调这个病例是因其罕见的表现,并且当使用简单的床边放射学检查早期诊断时,其预后良好且复发率极低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a9/12094588/0034ebc2f948/JIAPS-30-401-g001.jpg

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