Goldstein S S, Lewis J H, Rothstein R
Am J Gastroenterol. 1984 Apr;79(4):313-8.
A patient with acute intestinal obstruction due to unrecognized gastric phytobezoars is presented. There was no history of prior gastric or other abdominal surgery. At laparotomy several fragments of rubbery material were discovered obstructing the ileocecal valve. Exploration of the upper gastrointestinal tract revealed two partially fragmented bezoars in the stomach which were removed through a gastrotomy. After surgery the patient recounted the ingestion of persimmons a few weeks before the onset of her symptoms. A review of the literature reveals bezoars to be an infrequent, although not an altogether rare, cause of small bowel obstruction in patients without antecedent gastric surgery. A careful dietary history should accompany all patients presenting with acute intestinal obstruction.
本文报告一例因未被识别的胃植物性粪石导致急性肠梗阻的患者。患者既往无胃或其他腹部手术史。剖腹探查时发现数块橡胶样物质阻塞回盲瓣。对上消化道进行探查发现胃内有两个部分破碎的粪石，通过胃切开术将其取出。术后患者讲述在症状出现前几周曾食用柿子。文献回顾显示，在无既往胃手术史的患者中，粪石是小肠梗阻的一个不常见但并非极其罕见的原因。所有急性肠梗阻患者均应详细询问饮食史。
