El Bouazizi Yassine, El Bouazizi Amine, Yaikoubi Youssef, Echiguer Sabrillah, Kabbaj Taha, El Mouatassim Zakaria, Lahnaoui Oumaima, Benkabbou Amine, Majbar Mohammed Anass, Souadka Amine
Surgical Oncology Department, National Institute of Oncology, Ibn Sina University Hospital, Rabat, Morocco.
General Surgery Department, Ibn Sina University Hospital, Morocco.
J Surg Case Rep. 2025 Jun 25;2025(6):rjaf448. doi: 10.1093/jscr/rjaf448. eCollection 2025 Jun.
Acute intestinal obstruction is a common surgical emergency, usually caused by adhesions, tumors, or hernias. Bezoars are a rare but significant cause of small bowel obstruction (SBO), even in patients without prior gastrointestinal surgery. We report a case of a 60-year-old man with no surgical history who presented with nausea, vomiting, abdominal pain, and absence of bowel movements. Imaging suggested SBO, and diagnostic laparoscopy confirmed a meat bezoar obstructing the terminal ileum. Histopathological examination revealed thermally altered liver parenchyma, consistent with undigested cooked meat. The bezoar was successfully removed surgically, and the patient recovered without complications. This case underscores the importance of considering bezoars, including rare forms like meat bezoars, in the differential diagnosis of SBO, particularly in patients with nonspecific symptoms. Early recognition and surgical intervention are vital to avoid serious complications such as perforation or ischemia.
急性肠梗阻是一种常见的外科急症，通常由粘连、肿瘤或疝气引起。胃石是小肠梗阻（SBO）的一种罕见但重要的病因，即使在没有既往胃肠道手术史的患者中也是如此。我们报告一例60岁无手术史的男性患者，其表现为恶心、呕吐、腹痛和无排便。影像学检查提示为SBO，诊断性腹腔镜检查证实一枚肉石阻塞回肠末端。组织病理学检查显示肝实质有热变性，与未消化的熟肉相符。通过手术成功取出胃石，患者康复且无并发症。该病例强调了在SBO的鉴别诊断中考虑胃石的重要性，包括肉石等罕见类型，尤其是在有非特异性症状的患者中。早期识别和手术干预对于避免诸如穿孔或缺血等严重并发症至关重要。
