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胃石症,一种迷你胃旁路手术/单吻合口胃旁路手术后肠梗阻的罕见病因:病例报告

Hemobezoar, a rare cause of intestinal obstruction after mini gastric bypass/one anastomosis gastric bypass: case report.

作者信息

Ponce De Leon Jaime, Palacios Mauricio Fabian, Guachilema Ribadeneira Alex Paul, Gambino David, Ortiz Felipe

机构信息

Department Bariatric and Metabolic Surgery, Instituto Nefrologico de Tijuana Misión de San Ignacio 4428, Zona Urbana Rio Tijuana, Tijuana B.C. 22010, México.

Department Bariatric Surgery, Hospital Metropolitano Av. Mariana de Jesús, s/n, Quito, Pichincha, 170521, Ecuador.

出版信息

J Surg Case Rep. 2025 Aug 12;2025(8):rjaf610. doi: 10.1093/jscr/rjaf610. eCollection 2025 Aug.

Abstract

Hemobezoar is a rare cause of intestinal obstruction after mini gastric bypass/one anastomosis gastric bypass. Clot formation is often caused by bleeding in the anastomotic staple line. Symptoms include abdominal pain, vomiting, and abdominal distension. Surgical treatment should be performed promptly to prevent serious complications, such as anastomotic leaks, intestinal perforation, and death. Intraoperative endoscopy is useful for examining intraluminal mucosa and identifying the cause of the obstruction. This report describes a case of hemobezoar in a male patient. Few cases of hemobezoar have been reported in the literature.

摘要

胃石是迷你胃旁路术/单吻合口胃旁路术后肠梗阻的罕见原因。血凝块形成通常由吻合钉合线处出血引起。症状包括腹痛、呕吐和腹胀。应及时进行手术治疗以预防严重并发症,如吻合口漏、肠穿孔和死亡。术中内镜检查有助于检查腔内黏膜并确定梗阻原因。本报告描述了一名男性患者的胃石病例。文献中报道的胃石病例很少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/41f9444dcc78/rjaf610f1.jpg

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