Vonesch H J, Ganz M
Dtsch Med Wochenschr. 1984 Mar 16;109(11):426-9. doi: 10.1055/s-2008-1069207.
A 64-year-old patient with lower abdominal complaints "come un sasso nel stòmaco" was admitted as an emergency with acute upper gastrointestinal haemorrhage. There was a discrepancy between the clinically unremarkable abdomen and the large amounts of free air subdiaphragmatically on the left side as seen in the radiograph. Endoscopy did not contribute greatly due to presence of a large "coagulum". Surprisingly, at operation a huge phyto-bezoar measuring 15 x 8 x 8 cm, and a benign pressure ulcer in the great curvature were found. The perforation had only been mimicked, the air sickle was within the stomach and was demarcated by the round upper pole of the bezoar.
一名64岁有下腹部不适主诉“感觉胃里有块石头”的患者因急性上消化道出血作为急诊入院。临床上腹部无明显异常，但X光片显示左侧膈下有大量游离气体，二者存在差异。由于存在大量“血凝块”，内镜检查帮助不大。令人惊讶的是，手术中发现一个巨大的植物性胃石，大小为15×8×8厘米，胃大弯处有一个良性压疮。穿孔只是假象，镰状气体位于胃内，由胃石的圆形上极界定。
